Successful surgical treatment of aortogastric fistula after an esophagectomy and subsequent endovascular graft placement: report of a case.
An aortogastric fistula is a rare but fatal complication after an esophagectomy and intrathoracic esophagogastric anastomosis. A 54-year-old man underwent an esophageal resection due to carcinoma in his lower esophagus. The alimentary tract continuity was restored by intrathoracic esophagogastric anastomosis. Forty-six days later, he suffered a massive hematemesis due to an aortogastric fistula which had formed at the esophagogastric suture line. The fistula was surgically obliterated twice, but each operation was followed by pseudoaneurysm formation. The patient was finally successfully treated with an endovascular stent graft placement. This is the first report of a patient surviving after developing this complication.
Sato
O
O
Department of Surgery, Saitama Medical Center, Kawagoe, Japan.
Miyata
T
T
Matsubara
T
T
Shigematsu
H
H
Yasuhara
H
H
Ishimaru
S
S
D000714:Anastomosis, Surgical / Q000009:adverse effects; D017541:Aneurysm, False / Q000209:etiology / Q000473:pathology; D001018:Aortic Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D016629:Esophagectomy / Q000009:adverse effects*; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery; D005747:Gastric Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016157:Vascular Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*