Journal of Chest Surgery

  • 제41권4호
  • /
  • Pages.520-522
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  • 2008
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

원발성 대동맥-식도 누공 - 1예 보고 -

Primary Aortoesophageal Fistula - A case report -

  • 김대현 (경희대학교 의과대학 동서신의학병원 흉부외과학교실) ;
  • 김범식 (경희대학교 의과대학 경희의료원 흉부외과학교실)
  • 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)
  • 발행 : 2008.08.05
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초록

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.

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.

키워드

참고문헌

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