胸主动脉夹层腔内修复术后感染继发主动脉食管瘘1例Infection complicated with aortic esophageal fistula after transluminal stent-graft placement for aortic dissection: a case report and literature review
顾晓龙,官格,林霖,向定成
摘要(Abstract):
主动脉食管瘘(AEF)是胸主动脉腔内修复术后罕见的并发症,因其发病隐匿、死亡率高,给临床诊断和救治带来较大的挑战。AEF的临床表现缺乏特异性,常见表现为发热、呕血、胸背痛、吞咽困难等。本文报道了主动脉夹层支架术后感染继发食管瘘1例,其诊疗过程极为复杂,最终联合心脏外科等多学科后完成救治。现将诊疗过程进行总结,以期提高对AEF的认识,做到早发现、早治疗。
关键词(KeyWords): 主动脉夹层;胸主动脉腔内修复术;主动脉食管瘘;移植物感染
基金项目(Foundation): 广州市科技计划项目(202102021267、2023A04J2053)
作者(Author): 顾晓龙,官格,林霖,向定成
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