Ductus Aneurysm Ruptured Into the Esophagus With Massive Bleeding.
Ann Thorac Surg
; 105(3): e109-e111, 2018 03.
Article
em En
| MEDLINE
| ID: mdl-29455820
ABSTRACT
We report a patient with life-threatening hematemesis caused by the rupture of a ductus aneurysm into the esophagus, which was successfully treated by coil embolism for the esophageal fistula through the aorta and subsequent thoracic endovascular aortic replacement. Second-stage therapy was performed surgically after proactive antibiotic treatment and in consideration of the patient's improved general condition. This included debridement with drainage, aortic encasement with remnant aneurysmal wall, omentopexy, and jejunostomy. The esophagus was preserved, and satisfactory healing and natural closure of the fistula were achieved. Although repeated aspirations were later required for pleural fluid, such inflammatory complications finally subsided.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
/
Hematemese
/
Fístula Vascular
/
Fístula Esofágica
/
Aneurisma da Aorta Torácica
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article