Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: " Surgical treatment of aortobronchial fistula after thoracic endograft failure"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Surgical treatment of aortobronchial fistula after thoracic endograft failure. | Dell Aquila et al. Journal of Cardiothoracic Surgery 2011 6 134 http www.cardiothoracicsurgery.Org content 6 1 134 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Surgical treatment of aortobronchial fistula after thoracic endograft failure Angelo Maria Dell Aquila1 Stefano Mastrobuoni2 Alina Gallo1 Isidro Olavide3 and Alejandro Martin-Trenor2 Abstract Endovascular stent grafting has been recently considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease. Late complications are rarely described in literature. Herein we described the occurrence of an aorto-bronchial fistula and a retro-A dissection in a 73-year-old man after stent-grafting for a penetrating atherosclerotic ulcer PAU of the descending thoracic aorta and the successful surgical technique adopted in order to remove the stent-graft. Keywords bronchial fistula aortic dissection aortic ulcer endovascular stent Background Endovascular stent grafting has been considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease. However the Expert Consensus Document on the Treatment of Descending Thoracic Aortic Disease Using Endovascular StentGrafts has recently declared that despite reasonably low early operative morbidity and mortality late complications of thoracic aortic stent grafting are much more common than those reported for the open aortic surgery 1 . Thus it is not clear at this time whether the trend toward more aggressive endovascular stent-graft management will affect prognosis freedom from aortic complications and survival compared with conventional open surgical repair or medical management alone. To date late complications described in literature after endovascular stent grafting include endoleaks graft migration stent fractures and aneurysm-related death such as aneurysm rupture and fistulation . .