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- Title
Surgical repair of an aortoesophageal fistula after salvage thoracic endovascular aortic repair: a case report.
- Authors
Uemura, Hisashi; Matsue, Hajime; Suehiro, Yasuo; Nakagawa, Takaya; Satoh, Ayaka; Teshima, Yoshio; Bungo, Masashi; Satoh, Hisashi
- Abstract
Background: An aortoesophageal fistula can prove to be fatal. Salvage thoracic endovascular aortic repair as a bridging therapy and radical surgery with thoracotomy should be considered while treating aortoesophageal fistula without spontaneous closure. Moreover, it is essential to select a technique that reduces the risk of reinfection. Here we report a rare case of a ruptured thoracic aortic aneurysm related to esophageal perforation by a fish bone that led to massive hematemesis and shock, and the surgical treatment of an aortoesophageal fistula that developed after salvage thoracic endovascular aortic repair. Case presentation: A 70-year-old Japanese female patient was admitted with hematemesis, thoracic pain, and shock related to esophageal perforation of a ruptured descending aortic aneurysm caused by fish bone aspiration and esophageal perforation 1 month previously. An emergency thoracic endovascular aortic repair was performed. Postoperatively, an aortoesophageal fistula that remained open and a food intake-related increase in the inflammatory response was noted. Radical blood-vessel prosthesis implantation and fistula closure were performed. The patient's postoperative course was favorable and the patient was discharged 22 days after the blood vessel prosthesis implantation. Conclusion: Such a case of rupture of a descending aortic aneurysm related to perforation by a fish bone and an aortoesophageal fistula is considerably rare. Thus, we report the therapeutic strategy of this particular case and review the relevant literature.
- Subjects
ENDOVASCULAR aneurysm repair; FISTULA; AORTIC rupture; BLOOD vessel prosthesis; THORACIC aneurysms; ESOPHAGEAL perforation; AORTIC aneurysms
- Publication
Journal of Medical Case Reports, 2024, Vol 18, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/s13256-024-04605-0