Left subclavian arterioesophageal fistula induced by a foreign body.
A left subclavian arterioesophageal fistula was diagnosed in a 35-year-old man at exploratory thoracotomy for suspected aortoesophageal fistula. After successful closure of the arterial fistula the patient developed a mediastinal abscess and esophagopleural fistula. The latter was successfully managed by retrosternal jejunal esophagoplasty followed by excision of the thoracic esophagus. This report documents a case of left subclavian arterioesophageal fistula and illustrates the importance of early diagnosis and surgical intervention of arterial perforation secondary to a foreign body in the esophagus.
Mok
C K
CK
Department of Surgery, University of Hong Kong, Grantham Hospital.
Chiu
C S
CS
Cheung
H H
HH
D000038:Abscess / Q000209:etiology / Q000601:surgery; D000328:Adult; D004937:Esophageal Fistula / Q000150:complications / Q000209:etiology* / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013348:Subclavian Artery / Q000601:surgery