Aortoesophageal fistula induced by foreign bodies.
Two patients with aortoesophageal fistula induced by foreign bodies were surgically treated during a period of 10 years. The first patient was surgically treated through a right thoracotomy, which failed on account of exsanguination. In the second patient, a Sengstaken-Blakemore tube was inserted for esophageal tamponade. The aorta was successfully repaired through a left thoracotomy after occlusion of the esophagus and the aorta above and below the fistula. Therefore, we recommend preoperative esophageal tamponade and occlusion of the esophagus and the aorta through a left thoracotomy as the most successful approach.
Wu
M H
MH
Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan, Republic of China.
Lai
W W
WW
D000328:Adult; D001018:Aortic Diseases / Q000209:etiology*; D004935:Esophageal Diseases / Q000209:etiology; D004937:Esophageal Fistula / Q000209:etiology*; D004947:Esophagus; D005260:Female; D005402:Fistula / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male