Combined endovascular treatment of aorto-oesophageal fistula with mediastinitis | Zendy

Pascal Berna | Zendy; A. Péquignot | Zendy; Pierre De Temmerman | Zendy; Florence De Dominicis | Zendy

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Combined endovascular treatment of aorto-oesophageal fistula with mediastinitis

Author(s) -

Pascal Berna,

A. Péquignot,

Pierre De Temmerman,

Florence De Dominicis

Publication year - 2012

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1093/icvts/ivs385

Subject(s) - medicine , mediastinitis , radiology , mediastinum , perforation , surgery , aortic aneurysm , chest pain , thoracic aortic aneurysm , aneurysm , fistula , complication , aorta , materials science , metallurgy , punching

False aortic aneurysm is an uncommon complication after oesophageal perforation and results in a high rate of mortality. A 63-year-old patient presented with acute chest pain. Biochemical tests (cardiac enzymes) and electrocardiogram were normal. A thoracic and abdominal CT scan was performed, and showed a foreign body in the posterior mediastinum, with mediastinal cellulitis and a false aortic aneurysm. Surgical endovascular management was performed, with stenting of the thoracic aorta and oesophageal exploration.

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