共 21 条
Combined Endovascular and Endoscopic Management of a Secondary Aortoesophageal Fistula after Open Surgical Aortic Repair in a Giant Descending Thoracic Aortic Pseudoaneurysm: Case Report and Review of Literature
被引:1
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Stiru, Ovidiu
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Nayyerani, Reza
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Robu, Mircea
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Geana, Roxana Carmen
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Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Dragulescu, Petru Razvan
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Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Blibie, Oana Andreea
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Prof C C Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiovasc Anesthesiol & Intens Care 1, Bucharest 022328, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Bubenek-Turconi, Serban-Ion
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof C C Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiovasc Anesthesiol & Intens Care 1, Bucharest 022328, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Iliescu, Vlad Anton
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania

Parasca, Catalina
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Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
机构:
[1] Carol Davila Univ Med & Pharm, Fac Med, Bucharest 050474, Romania
[2] Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiac Surg, Bucharest 022322, Romania
[3] Prof C C Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiovasc Anesthesiol & Intens Care 1, Bucharest 022328, Romania
关键词:
secondary aortoesophageal fistula;
TEVAR;
esophageal stent;
aortic repair;
STENT;
GRAFT;
D O I:
10.3390/jpm14060625
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Secondary aortoesophageal fistula (AEF) is defined as a communication between the aorta and the esophagus, occurring after aortic disease treatment or esophageal procedures, associating very high mortality rates with treatment and being fatal without it. Several treatment strategies have been described in the literature, combining open surgery or endovascular aortic repair with surgical or endoscopic management of the esophageal lesion. We present the case of a 53-year-old patient with a history of open aortic surgery for a giant descending thoracic aortic pseudoaneurysm complicated with secondary AEF, successfully managed using emergency transiliac TEVAR (thoracic endovascular aortic repair), extensive antibiotic therapy associated with nutritional replenishment, and rehabilitation therapy. Novel endovascular and endoscopic devices have been developed, offering less invasive treatment strategies with improved outcomes, especially for high risk surgical patients. This case highlights the importance of a multidisciplinary approach to personalized medicine to manage such complex situations.
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Taichung Vet Gen Hosp, Div Gastroenterol, Taichung 407, Taiwan
Chung Shan Med Univ, Sch Med, Taichung, Taiwan Taichung Vet Gen Hosp, Div Gastroenterol, Taichung 407, Taiwan

Lin, Cheng-Wen
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China Med Univ, Dept Med Lab Sci & Biotechnol, Taichung, Taiwan Taichung Vet Gen Hosp, Div Gastroenterol, Taichung 407, Taiwan