Open Access
Massive hemorrhage following definitive esophageal chemoradiation: teaching case of a fatal aortoesophageal fistula and lessons learned
Author(s) -
McGinnis Gwendolyn J.,
Holland John M.,
Thomas Charles R.,
Nabavizadeh Nima
Publication year - 2017
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1239
Subject(s) - medicine , esophageal cancer , radiation therapy , fistula , radiology , esophageal stent , surgery , esophagus , general surgery , cancer
Key Clinical Message Esophageal self‐expandable metal stents and radiotherapy are valuable in combination for palliation and definitive treatment of esophageal cancer. However, risk of aortoesophageal fistula is significant in patients with evidence of malignant aortic invasion. Use of thoracic endovascular repair may represent an approach to early intervention in high‐risk patients.