Thoracic endovascular aortic repair in management of aorto-oesophageal fistulas: a case series
| Autor: | Rajesh Vijayvergiya, Harkant Singh, Ajay Savlania, Saroj K. Sinha, Thakur Deen Yadav, Anupam Lal, Ganesh Kasinadhuni, Kewal Kanabar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fistula Less invasive Thoracic endovascular aortic repair 030204 cardiovascular system & hematology Aortic repair 03 medical and health sciences Aortic aneurysm 0302 clinical medicine Aneurysm Mycotic aortic aneurysm Infected endograft medicine Tuberculosis Case Series AcademicSubjects/MED00200 030212 general & internal medicine business.industry Open surgery Left main bronchus Bleed medicine.disease Aorto-oesophageal fistula Surgery cardiovascular system Other Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| DOI: | 10.1093/ehjcr/ytaa295 |
| Popis: | Background Aorto-oesophageal fistula (AOF) is a rare, catastrophic disease with an extremely poor prognosis. A ruptured thoracic aortic aneurysm is a common aetiology for AOF. The clinical presentation is usually massive haematemesis and collapse. Timely diagnosis and appropriate treatment are crucial in managing AOF.Case summary We hereby report two cases of AOF, who underwent successful emergency thoracic endovascular aortic repair (TEVAR) to control active bleed and exsanguination. Case 1, an elderly lady with atherosclerotic aneurysm had TEVAR followed by open surgery for oesophageal rent and necrosed left main bronchus. Case 2 had mycotic tubercular aneurysm who later had infected graft-stent following TEVAR.Discussion Open surgery is the conventional treatment for AOF; however, TEVAR can be an alternative and less invasive approach in selected high-risk patients. Various management issues related to TEVAR with AOF have been discussed in the article. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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