Aortoesophageal fistula with a history of graft treatment for thoracic aortic aneurysm.

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Title:	Aortoesophageal fistula with a history of graft treatment for thoracic aortic aneurysm.
Authors:	林振勝(Lin CS);(Tung CF);(Yeh HZ);(Chang CS)*;林振文(Lin Cheng Wen)
Contributors:	健康照護學院醫學檢驗生物技術學系;中國附醫檢驗醫學部
Keywords:	aortic aneurysm;fistula;gastrointestinal hemorrhage
Date:	2008-02
Issue Date:	2009-08-26 16:00:41 (UTC+8)
Abstract:	Aortoesophageal fistula (AEF) is a rare but fatal cause of gastrointestinal hemorrhage, being most commonly associated with thoracic aortic aneurysm. We present a rare case of secondary AEF post graft treatment for mycotic aneurysm of thoracic aorta 4 years previously. Massive upper gastrointestinal hemorrhage resulted in difficult diagnosis by gastrointestinal endoscopy. Computed tomography angiography (CTA) showed contrast extravasation from the descending aorta into the mid-third esophagus. CTA is a useful diagnostic tool in patients suspected of having AEF. Rapid identification of AEF is important for definitive treatment and increases the likelihood of survival.
Relation:	中華醫學會雜誌 71(2)100~102
Appears in Collections:	[Department of Medical Laboratory Science and Biotechnology ] Journal articles

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