胸主动脉瘤腔内隔绝术后远期主动脉食管瘘1例并文献复习

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Abstract Aortoesophageal fistula (AEF) is a rare disease with high misdiagnosis rate and fatality rate, which can be caused by thoracic aortic aneurysm, foreign body intake, and thoracic endovascular aortic repair (TEVAR). This case was admitted to Suining Central Hospital (hereinafter referred to as “our hospital”) in February 2016 due to chest and back pain. The descending aortic aneurysm was diagnosed by chest enhanced CT examination, and endoluminal isolation was performed with thoracic aortic stent placement. The reexamination half a year after the operation revealed type Ⅰ leakage. The patient refused surgical intervention and was admitted to our hospital again four years later due to heart fatigue and palpitation. Chest enhanced CT suggested AEF, and reTEVAR + esophageal reconstruction hybrid surgery was planned. The patient refused the surgery and died due to bleeding and infection one month later. Long-term AEF of aortic aneurysm stent placement is rare. In this paper, a case of long-term AEF after TEVAR was reported. Combined with the existing reports, the clinical manifestations, diagnosis and treatment of this disease were reviewed in order to improve the understanding of this disease.

Key words： Aortoesophageal fistula Thoracic endovascular aortic repair Complications Literature review

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	TANG Shengjie1
	2 ZHOU Haining1
	2

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TANG Shengjie1,2 ZHOU Haining1,2. A case report of long term aortic esophageal fistula after endovascular isolation of thoracic aortic aneurysm and literature review[J]. 中国医药导报, 2021, 18(6): 181-184.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I6/181

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