Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Primary Aortoesophageal Fistula - A case report -

원발성 대동맥-식도 누공 - 1예 보고 -

  • Kim, Dae-Hyun (Department of Thoracic and Cardiovascular Surgery, East-West Neo Medical Center, Kyung Hee University College of Medicine) ;
  • Kim, Bum-Shik (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Medical Center, Kyung Hee University College of Medicine)
  • 김대현 (경희대학교 의과대학 동서신의학병원 흉부외과학교실) ;
  • 김범식 (경희대학교 의과대학 경희의료원 흉부외과학교실)
  • Published : 2008.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

Aortoesophageal fistula that causes massive bleeding from the esophagus is a rare and fatal disease. The most common cause of aortoesophageal fistula is an aortic aneurysm, and the other causes are inflammatory disease and neoplasm. The treatment of choice for aortoesophageal fistula is surgery, and this surgery carries a high rate of mortality and morbidity. Stent-graft treatment is now being applied for this malady. Herein we report on a case of primary aortoesophageal fistula that was treated with primary repair of the fistula openings, and we include a review of the relevant literature.

원발성 대동맥-식도 누공은 드문 질환으로 식도 내로 대량의 출혈을 일으키는 치명적인 질환이다. 원인으로는 흉부 대동맥류가 가장 흔하며, 암에 의한 궤양, 염증 등이 있다. 수술이 근치적 치료 방법이지만 유병률과 사망률이 높으며, 최근에는 스텐트-그라프트를 이용한 비수술적 치료 방법이 소개되고 있다. 저자들은 수술을 통해 누공을 박리하고 식도와 대동맥을 일차 봉합하여 치료한 원발성 대동맥-식도 누공 1예를 문헌 고찰과 함께 보고한다.

Keywords

References

  1. Hollander JE, Quick G. Aortoesophageal fistula: a comprehensive review of the literature. Am J Med 1991;91:279-87. https://doi.org/10.1016/0002-9343(91)90129-L
  2. Sugawara Y, Tada Y, Sato O, et al. Aortoesophageal fistula: report of an unusual case. Surg Today 1998;28:843-5. https://doi.org/10.1007/s005950050238
  3. Kane JM, Meyer KA, Kozoll DD. An anatomical approach to the problem of massive gastrointestinal hemorrhage. AMA Arch Surg 1955;70:570-82. https://doi.org/10.1001/archsurg.1955.01270100096017
  4. Carter R, Mulder GA, Snyder EN, Brewer LA. Aortoesophageal fistula. Am J Surg 1978;136:26-30. https://doi.org/10.1016/0002-9610(78)90195-2
  5. Reardon MJ, Brewer RJ, LeMaire SA, Baldwin JC, Safi HJ. Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm. Ann Thorac Surg 2000;69:967-70. https://doi.org/10.1016/S0003-4975(99)01087-5
  6. Topel I, Stehr A, Steinbauer MG, et al. Surgical strategy in aortoesophageal fistulae: endovascular stentgrafts and in situ repair of the aorta with cryopreserved homografts. Ann Surg 2007;246:853-9. https://doi.org/10.1097/SLA.0b013e3180caa3c9
  7. Madan AK, Santora TA, Disesa VJ. Extra-anatomic bypass grafting for aortoesophageal fistula: a logical operation. Vasc Surg 2000;32:1030-3. https://doi.org/10.1067/mva.2000.107767
  8. Prokakis C, Koletsis E, Apostolakis E, Dedeilias P, Dougenis D. Aortoesophageal fistulas due to thoracic aorta aneurysm: surgical versus endovascular repair. Is there a role for combined aortic management? Med Sci Monit 2008;14:48-54.