Open AccessSecondary aorto-esophageal fistula after thoracic aortic aneurysm endovascular repair treated by covered esophageal stenting
Author(s) -
Mary Jiayi Tao,
Eran Shlomovitz,
Gail Darling,
Graham Roche-Nagle
Publication year - 2016
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v4.i8.233
Subject(s) - medicine , surgery , stent , thoracic aortic aneurysm , fistula , radiology , aortic repair , esophageal stent , aortic aneurysm , esophagus , endoscopy , computed tomography angiography , cardiothoracic surgery , angiography , aneurysm
Thoracic endovascular aortic repair for thoracic aortic aneurysms is an accepted alternative to open surgery, especially in patients with significant comorbidities. The procedure itself has a low risk of complications and fistulas to surrounding organs are rarely reported. An 86-year-old patient was admitted to our hospital with gastro intestinal (GI) bleeding and a suspected aortoesophageal fistula. Eight months prior, the patient had undergone a stent graft repair of a mycotic thoracic aneurysm. Computerized tomography angiography and upper GI endoscopy confirmed an aortoesophageal fistula, which was treated by esophageal stenting. With early recognition, esophageal stenting may have a role in the initial emergency control of bleeding from and palliation of aortoesophageal fistula.