A 66-year-old man was reported to have persistent chest pain for 4 hours after accidentally swallowing a fishbone. An isolated esophageal foreign body (EFB) was suspected in the community hospital. In our center, an emergency chest CT scan revealed an EFB in the upper part of the esophagus of the patient which penetrated the left esophageal wall as well as the distal aortic arch. However, the experience of the treatment strategy for this lesion is still not enough available. Considering the surgical trauma and the risk associated with advanced age of the patient, the option for open surgery was waived. In addition, there was also a risk of sudden death due to aortic rupture that could occur after direct removal of the fishbone. Therefore, emergency thoracic endovascular aortic repair was performed and the fishbone was removed under an endoscope. The patient successfully pulled through without any discomfort, with no complications.
第一作者单位：[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Div Cardiothorac & Vasc Surg,1095 Jiefang Ave,Wuhan,Hubei,Peoples R China
通讯作者：
推荐引用方式(GB/T 7714)：
Zhou Fushuo,Zheng Zhi,Pan Youmin.Management of Penetrating Injury to the Esophagus Into the Aorta by a Fishbone[J].AMERICAN SURGEON.2023,89(6):2941-2942.doi:10.1177/00031348221087906.
APA：
Zhou, Fushuo,Zheng, Zhi&Pan, Youmin.(2023).Management of Penetrating Injury to the Esophagus Into the Aorta by a Fishbone.AMERICAN SURGEON,89,(6)
MLA：
Zhou, Fushuo,et al."Management of Penetrating Injury to the Esophagus Into the Aorta by a Fishbone".AMERICAN SURGEON 89..6(2023):2941-2942
