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KMID : 1164620190520030182
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Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 3 p.182 ~ p.185
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Staged Surgical Treatment of Primary Aortoesophageal Fistula
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Hwang Sun-Hyun
Cho Jun-Woo
Bae Chi-Hoon
Jang Jae-Seok
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Abstract
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Aortoesophageal fistula (AEF) is a rare and potentially fatal disease that causes massive gastrointestinal bleeding. Therefore, early diagnosis and treatment are essential to prevent mortality. Controlling the massive bleeding is the most important aspect of treating AEF. The traditional surgical treatment was emergent thoracotomy, but intraoperative or perioperative mortality was high. We report a case of a patient presenting with hematemesis who was successfully treated by a staged treatment, in which bridging thoracic endovascular aortic repair was followed by delayed surgical repair of the esophagus and aorta.
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KEYWORD
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Fistula, Aorta, Esophagus, Endovascular stent
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