主动脉弓置换术及自体心包气管补片治疗主动脉-气管瘘。

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Kelsey A Musgrove, Daniel McCarthy, Andreas R de Biasi
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引用次数: 1

摘要

主动脉-气管瘘管是一种罕见且高度致命的疾病,很少有成功手术治疗的报道。我们报告一位48岁男性,因气管鳞状细胞癌放射治疗而致主动脉-气管瘘。他表现出咯血和胸痛,检查发现主动脉-气管瘘在后主动脉弓和气管前远端之间。他被紧急送往手术室。据我们所知,这是首个通过横切主动脉弓置换术成功治疗主动脉-气管瘘并使用自体心包和网膜支撑进行复杂气管修复的报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Aortic arch replacement and autologous pericardial tracheal patch for an aorto-tracheal fistula.

Aortic arch replacement and autologous pericardial tracheal patch for an aorto-tracheal fistula.

Aortic arch replacement and autologous pericardial tracheal patch for an aorto-tracheal fistula.

Aortic arch replacement and autologous pericardial tracheal patch for an aorto-tracheal fistula.

Aorto-tracheal fistulas are rare and highly lethal, with few reports of successful surgical intervention. We present a 48-year-old man with an aorto-tracheal fistula induced by radiation therapy for tracheal squamous cell carcinoma. He presented with hemoptysis and chest pain and workup revealed the aorta-tracheal fistula between the posterior aortic arch and anterior distal trachea. He was emergently taken to surgery. To our knowledge, this is the first report of an aorto-tracheal fistula successfully treated with a transverse aortic arch replacement and complex tracheal repair using autologous pericardium with an omental buttress.

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来源期刊
CiteScore
2.90
自引率
12.50%
发文量
976
审稿时长
3-8 weeks
期刊介绍: Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.
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