SURGICAL TREATMENT METHOD IN THE PATIENTS WITH AORTO-ESOPHAGEAL FISTULA IN THE THORACIC AORTA ANEURYSM

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, particularly to cardiovascular surgery. Aorta is separated in proximal direction and distal from aneurysm and aortic esophageal fistula. Aneurism and the aortic esophageal fistula are not isolated. Two non-traumatic clamps compress the aorta in proximal direction and two atraumatic clamps to compress the aorta distal to the aneurysm. Aorta is transected between the respective proximal and distal clamps to form a series of proximal and distal aortic anastomoses with a synthetic prosthesis. Blood flow is started along a prosthesis. Aneurismal sac is closed without its pre-opening and the aorto-esophageal fistula is coated with a non-absorbable suture of 20 on a non-traumatic needle with a continuous blanket suture with reduction of the aneurysmal sac.;EFFECT: method enables avoiding prosthesis infection, requires no additional manipulations on the esophagus, provides higher effectiveness and safety of the surgical management of the patients with aorto-esophageal fistula in aneurysm of the thoracic aorta.;1 cl, 1 ex