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- Title
Thoracic Endovascular Repair for Aorto-Esophageal Fistula in Patients With Esophageal Carcinoma: Report of 3 Cases.
- Authors
Ishikawa, Noboru; Maruta, Kazuto; Oi, Masaya; Iizuka, Hirofumi; Kawaura, Hiroyuki; Omoto, Tadashi
- Abstract
Aorto-esophageal fistula (AEF) is a rare complication of esophageal carcinoma. Left untreated, it may be lethal due to massive upper gastrointestinal bleeding, while open thoracic surgery is associated with high operative mortality and morbidity. In contrast, thoracic endovascular aortic repair (TEVAR) for AEF is less invasive than open thoracic surgery. Here, we report 3 successful cases of AEF with esophageal carcinoma treated using TEVAR under local anesthesia in the emergent or urgent phase. General condition of all the patients was dramatically improved, but 1 patient with exsanguinations developed infection of the implanted stent-graft and died due to sepsis. The other 2 patients were treated before esophageal bleeding and remained alive for 1 year without infection. The TEVAR should be considered as early as possible in patients with advanced esophageal carcinoma receiving radiation or chemotherapy who develop early signs of AEF such as symptoms of chest discomfort or descending aortic irregularity on computed tomography scan.
- Subjects
VASCULAR surgery; BLOOD vessels; CANCER chemotherapy; ESOPHAGUS diseases; ESOPHAGEAL tumors; FISTULA; RADIOTHERAPY; SURGICAL stents; TOMOGRAPHY; ENDOSCOPIC gastrointestinal surgery; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2013, Vol 47, Issue 1, p65
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574412467858