Successful management of life-threatening aortoesophageal fistula: A case report and review of the literature
作者机构：Department of Gastroenterology and HepatologyHangzhou Normal University Affiliated HospitalHangzhou 310015Zhejiang ProvinceChina Medical CollegeHangzhou Normal UniversityHangzhou 311121Zhejiang ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第12期
页 面：3814-3821页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：Supported by the Natural Science Foundation of Zhejiang Province (No. LQ19H030002)
主 题：Upper gastrointestinal bleeding Aortoesophageal fistula Thoracic endovascular aortic repair Esophageal cancer Chest pain Case report
摘 要：BACKGROUND Aortoesophageal fistula(AEF)is a rare but life-threatening cause of upper gastrointestinal *** a handful of cases of successful management of AEF caused by esophageal cancer have been *** purpose of this study is to report a case of AEF managed by endovascular aortic repair and review the relevant *** SUMMARY A 66-year-old man with upper gastroenterology bleeding presented at the Emergency Department of our hospital complaining of chest pain,fever and hematemesis for 6 *** had vomited 400 mL of bright-red blood and experienced severe chest pain 6 h *** had a past medical history of advanced esophageal *** received chemoradiotherapy but stopped 8 mo prior because of intolerance.A chest contrast computed tomographic scan revealed communication between the esophagus and the descending aorta as well as a descending aortic *** to the symptoms and imaging findings,AEF was our primary *** patient underwent aortic angiography,which indicated AEF and descending aortic *** percutaneous thoracic endovascular aortic repair(TEVAR)of the descending aorta was performed,and bleeding was controlled after *** received antibiotics and was discharged after ***,he died 2 mo after the TEVAR due to cancer *** Although AEF is a lethal condition,timely diagnosis and TEVAR may successfully control bleeding.
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