Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression

Yamana, Fumio; Shimamura, Kazuo; Funaki, Soichiro; Miyagawa, Shigeru

doi:https://doi.org/10.1093/icvts/ivaf112

Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression

Yamana, Fumio; Shimamura, Kazuo; Funaki, Soichiro et al.

Interdisciplinary CardioVascular and Thoracic Surgery, 2025, 40(6), ivaf112

アクセス数:235件（2025-07-22 20:57 集計）

固定URL: https://hdl.handle.net/11094/101414

閲覧可能ファイル

ファイル	フォーマット	利用条件	サイズ	閲覧回数	利用開始日	説明	information
IntdiscipCardioVascularThoracicSurg_40_6	pdf	なし	540 KB	8	2025.06.05

Creative Commons : 表示 - 非営利

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

タイトル	Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression
著者	著者名 Yamana, Fumio
	NRID 1000010507205 1000010507205 researchmap permalink kazuo-shimamura kazuo-shimamura Scopus Author ID 35969640700 35969640700 著者名 Shimamura, Kazuo
	NRID 1000050464251 1000050464251 researchmap permalink so1 so1 Scopus Author ID 14123352700 14123352700 著者名 Funaki, Soichiro
	NRID 1000070544237 1000070544237 ORCID 0000-0003-0015-6569 0000-0003-0015-6569 researchmap permalink s-miyagawa3154 s-miyagawa3154 Scopus Author ID 55560624700 55560624700 著者名 Miyagawa, Shigeru
キーワード等	secondary aorto-oesophageal fistula
	thoracic endovascular aortic repair
	thoracoscopic aortic aneurysm
内容	Yamana Fumio, Shimamura Kazuo, Funaki Soichiro, et al. Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression. Interdisciplinary CardioVascular and Thoracic Surgery 40, ivaf112 (2025); https://doi.org/10.1093/icvts/ivaf112.
抄録	Secondary aorto-oesophageal fistulas after thoracic endovascular aortic repair are a severe complication associated with high mortality rates. We present a case of staged oesophageal decompression performed via thoracoscopic resection of a residual aneurysm following thoracic endovascular aortic repair to prevent secondary aorto-oesophageal fistulas in a patient with a distal arch aneurysm causing significant oesophageal compression. A 70-year-old woman with a 3-month history of hoarseness was referred to our hospital. Computed tomography revealed a penetrating ulcer in the aortic arch, complicated by a 60 mm pseudoaneurysm causing significant oesophageal compression. Owing to multiple comorbidities, the patient had high perioperative risk, rendering total arch replacement unfeasible; therefore, endovascular repair was selected. After Zone 1 hybrid thoracic endovascular aortic repair, complete thrombosis of the aneurysm was confirmed. Staged residual aneurysm resection was performed via thoracoscopy through a small left thoracotomy relieve oesophageal compression. Two years postoperatively, computed tomography revealed aneurysmal reduction, complete resolution of the oesophageal pressure drainage and no evidence of secondary aorto-oesophageal fistula or stent graft infection.
出版者	Oxford University Press (OUP)
収録物名	Interdisciplinary CardioVascular and Thoracic Surgery
巻(号)	40(6)
ページ	ivaf112
刊行年月	2025-05-12
言語	英語
ハンドルURL	https://hdl.handle.net/11094/101414
eISSN	2753670X
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1093/icvts/ivaf112
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Interdisciplinary CardioVascular and Thoracic Surgery. 2025, 40(6), p. ivaf112
DC.title	Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression
DC.creator	Yamana, Fumio
	Shimamura, Kazuo
	Funaki, Soichiro
	Miyagawa, Shigeru
DC.publisher	Oxford University Press (OUP)
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-05-12
DC.identifier	https://doi.org/10.1093/icvts/ivaf112
DC.subject	secondary aorto-oesophageal fistula
	thoracic endovascular aortic repair
	thoracoscopic aortic aneurysm
DC.description	Yamana Fumio, Shimamura Kazuo, Funaki Soichiro, et al. Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression. Interdisciplinary CardioVascular and Thoracic Surgery 40, ivaf112 (2025); https://doi.org/10.1093/icvts/ivaf112.
DCTERMS.abstract	Secondary aorto-oesophageal fistulas after thoracic endovascular aortic repair are a severe complication associated with high mortality rates. We present a case of staged oesophageal decompression performed via thoracoscopic resection of a residual aneurysm following thoracic endovascular aortic repair to prevent secondary aorto-oesophageal fistulas in a patient with a distal arch aneurysm causing significant oesophageal compression. A 70-year-old woman with a 3-month history of hoarseness was referred to our hospital. Computed tomography revealed a penetrating ulcer in the aortic arch, complicated by a 60 mm pseudoaneurysm causing significant oesophageal compression. Owing to multiple comorbidities, the patient had high perioperative risk, rendering total arch replacement unfeasible; therefore, endovascular repair was selected. After Zone 1 hybrid thoracic endovascular aortic repair, complete thrombosis of the aneurysm was confirmed. Staged residual aneurysm resection was performed via thoracoscopy through a small left thoracotomy relieve oesophageal compression. Two years postoperatively, computed tomography revealed aneurysmal reduction, complete resolution of the oesophageal pressure drainage and no evidence of secondary aorto-oesophageal fistula or stent graft infection.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	101414
citation_title	Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression
citation_author	Yamana, Fumio
	Shimamura, Kazuo
	Funaki, Soichiro
	Miyagawa, Shigeru
citation_publisher	Oxford University Press (OUP)
citation_language	英語
citation_date	2025-05-12
citation_journal_title	Interdisciplinary CardioVascular and Thoracic Surgery
citation_volume	40
citation_issue	6
citation_firstpage	ivaf112
citation_doi	https://doi.org/10.1093/icvts/ivaf112
citation_public_url	https://hdl.handle.net/11094/101414

Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression

閲覧可能ファイル

論文情報

論文詳細を表示