• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Medicine. >Massive hemorrhage from an aortoesophageal fistula caused by esophageal stent implantation: A case report and literature review
【24h】

Massive hemorrhage from an aortoesophageal fistula caused by esophageal stent implantation: A case report and literature review

机译：食管支架植入造成的血管瘘大量出血：案例报告和文献综述

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Rationale: Aortoesophageal fistula (AEF) is the direct communication between the aorta and esophagus, which can cause fatal hemorrhage, and its incidence increased with the use of an esophageal stent (ES). Patient concerns: A 79-year-old man was admitted due to hemodynamic shock with massive hematemesis caused by AEF 1 month after the implantation of an ES. Diagnoses: Computed tomography angiography visualized an AEF with an ulcer-like projection on the aortic arch where the ES was placed. Angiography of the aorta revealed extravasation of contrast media from the aortic arch into the stented esophagus, which confirmed the diagnosis. Interventions: Thoracic endovascular aortic repair (TEVAR) was performed for massive hematemesis caused by ES-related, AEF but did not solve the underlying problem, leading to the second fatal hemorrhage. Lessons: TEVAR for the unique treatment of ES-related AEF is feasible in certain cases but may lead to collapse after a specific period.
机译：理由：主动脉深呼瘘（牛肉）是主动脉和食道之间的直接沟通，这可能导致致命出血，并且其发病率随着食管支架而增加。患者担忧：由于植入ES植入后1个月的血液动力学，血液动力学休克是由于血流动力学休克而被造成的血液动力学冲击。诊断：计算机断层造影血管造影可视化AEF，其在放置ES的主动脉弓上的溃疡样突起。主动脉的血管造影显示从主动脉弓的造影剂渗入到支架的食道中，这证实了诊断。干预措施：胸腔血管内主动脉修复（TEVAR）进行了由ES相关，禽类引起的大规模呕血，但未解决潜在的问题，导致第二个致命出血。课程：TEVAR在某些情况下，ES相关的AEF的独特待遇是可行的，但可能导致特定时期后崩溃。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号