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Review
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Korean J Med. 2006;71(1):283-283.
- A primary aortoesophageal fistula due to thoracic aortic pseudoaneurysm : case report and review of literature
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박태익&#;황기원&#;한동철&#;이동원&#;하재경&#;윤영권&#;이한철&#;김 준&#;김준
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- A primary aortoesophageal fistula due to thoracic aortic pseudoaneurysm : case report and review of literature
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1Department of Internal Medicine, Hanyang University College of Medicine, Seoul; 2Department of Life Science, Postech Biotech Center, Pohang University of Science and Technology, Pohang, Korea
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- Abstract
- Aortoesophageal fistula(AEF) is a rare but often lethal disease with a high mortality rate. These lesions are most commonly seen
in patients with thoracic aortic aneurysms, but they may occur as post-operative compications after cardiac surgery or
stent-graft replacement. Early diagnosis and surgical intervention are mandatory for survival. Aortoesophageal fistula due to
thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and has an extremely poor prognosis. This is a case
report of 77-year-old woman with AEF. Patient visited in our emergency room and complained small amount hematemesis. We
found abnormal lesion in mid esophagus during esophagogastrodoudenoscopy. We checked chest computed tomography that
show abnormal communication between out-pouching aneurysm in subaortic portion of ascending aorta and esophagus. aortic
patch repair was done.
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