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- Title
Aortoesophageal fistula treated using one-stage total reconstruction: a case report from a high-volume center.
- Authors
Lee, Yi-Ping; Ozaki, Kensuke; Oshima, Susumu; Hirokami, Tomohiro
- Abstract
Background: Aortoesophageal fistula (AEF) is a rare but typically life-threatening condition. Although several treatment strategies exist, including conservative treatment with intraluminal stent graft and open thoracic aortic replacement, the overall outcome remains poor, ranging from 16 to 39%. Furthermore, esophageal reconstruction methods vary between hospitals. Herein, we report a case of aortoesophageal fistula treated using one-stage total reconstruction. Case presentation: This case involved a 58-year-old woman who developed acute type A aortic dissection and underwent successful total arch replacement at the other hospital. However, she developed AEF 1 year later and underwent urgent thoracic endovascular aortic repair, which eventually failed. We performed thoracic aortic replacement, total esophagectomy, gastric tube reconstruction, and omental flap in a one-stage operation. The patient was extubated the next day and transferred to the general ward on postoperative day 3. Computed tomography revealed favorable results. Conclusions: For postoperative AEF, dedicated debridement with reconstruction is more effective than conservative treatment. In an experienced center, post-procedure-related AEF can be easily treated using one-stage reconstruction.
- Subjects
AORTIC dissection; ENDOVASCULAR aneurysm repair; DISSECTION; TOTAL ankle replacement; FISTULA; COMPUTED tomography
- Publication
Journal of Cardiothoracic Surgery, 2023, Vol 18, Issue 1, p1
- ISSN
1749-8090
- Publication type
Case Study
- DOI
10.1186/s13019-023-02438-4