Mycotic aneurysm of the aortic arch with aortoesophageal fistula.
An elderly man presented with an aortoesophageal fistula (AEF) and underwent resection of a mycotic aneurysm of the aortic arch. After an initial success, the patient ultimately succumbed to mediastinal sepsis. The various approaches to combined aortic and esophageal pathology are presented with the recommendation for aortic replacement along with early removal of mediastinal contamination.
Burack
J H
JH
Department of Surgery, Maimonides Medical Center, Brooklyn, New York.
Lamelas
J
J
Sabado
M F
MF
Tranbaugh
R F
RF
Cunningham
J N
JN
D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery*; D004937:Esophageal Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013211:Staphylococcus aureus / Q000302:isolation & purification