Delayed simultaneous aortoesophageal and aortobronchial fistulae post thoracic endovascular aortic repair (TEVAR).

胸血管内主动脉修复术 （ TEVAR ） 后延迟同时发生主动脉食管和主动脉支气管瘘。

• 发表时间: Jan 2023
• 来源期刊: Indian J Thorac Cardiovasc Surg
• DOI: 10.1007/s12055-022-01422-2
• PMID: 36590042
• 文章类型: Case Reports
• 作者列表: Tabaku K,Schizas N,Patris V,Argiriou M

关键词: ABF; AEF; Endovascular; Fistulae; TEVAR

Abstract

Aortoesophageal and aortobronchial fistulae after thoracic endovascular aortic repair (TEVAR) are rare and life-threatening conditions. No clear guidance exists in the literature for the optimal therapeutic management of such cases. This case demonstrates a delayed simultaneous aortoesophageal and aortobronchial fistulae treated conservatively with culture-guided antibiotic therapy and combined endovascular management.

摘要

胸血管内主动脉修复术（TEVAR）后的主动脉食管和主动脉支气管瘘是罕见且危及生命的疾病。对于此类病例的最佳治疗管理，文献中没有明确的指导。此病例表明，经文化指导的抗生素治疗和联合血管内管理保守治疗，延迟同时发生主动脉食管和主动脉支气管瘘。