Successful life support for an Aorto-esophageal fistula using a SB tube and thoracic endovascular aortic repair: A case report

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  • 下行大動脈瘤食道穿破に対して SB チューブ，ステントグラフト内挿術によって救命しえた一例

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Description

We herein report the case of a patient with an Aorto-esophageal fistula (AEF) with hypovolemic shock who survived with the use of a nasal SB tube and thoracic endovascular aortic repair (TEVER). A nasal SB tube is commonly used to treat esophageal varices. In the present case, we referred to the nasal endoscopic observations and blindly inserted the nasal SB tube.<br/> An AEF is a rate and usually fatal condition, but the number of reports has recently been increasing, because it is an occasional preoperative complication of TEVER.<br/> The use of a nasal SB tube is beneficial for treating an AEF. However, depending on the situation, an esophagus or aortic aneurysm may be ruptured by blindly inserting a nasal SB tube. Therefore, that the use of a SB tube should be made carefully, and it should be inserted referring to endoscopic observations if possible.

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 19 (1), 17-20, 2015

    Japanese Society of Cardiovascular Anesthesiologists

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