title: Aortoesophageal fistula caused by aneurysm of the thoracic aorta: successful surgical treatment, case report, and literature review.
abstract: Aortoesophageal fistula induced by atherosclerotic thoracic aortic aneurysm is rare, but is usually a fatal disorder, with few survivors reported. We report the case of a 72-year-old man with aortoesophageal fistula successfully treated in a two-stage operation. In the first stage, we performed resection and replacement of the aortic aneurysm with a prosthetic graft in situ, esophagectomy, cervical esophagostomy, and jejunostomy. After the patient recovered well postoperatively, a transmediastinal retrosternal interposition of the stomach was performed, with esophagogastroanastomosis in the cervical area, to re-establish the gastrointestinal tract. We include a discussion of the causes, diagnostic approach, management of the aorta and esophagus, and review of the literature.
authors.affiliation: Department of Surgery, São Paulo University School of Medicine, Brazil.
authors.forename: E S
authors.initials: ES
authors.lastname: da Silva
authors.forename: F L
authors.initials: FL
authors.lastname: Tozzi
authors.forename: J P
authors.initials: JP
authors.lastname: Otochi
authors.forename: E M
authors.initials: EM
authors.lastname: de Tolosa
authors.forename: C R
authors.initials: CR
authors.lastname: Neves
authors.forename: F
authors.initials: F
authors.lastname: Fortes
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D016629:Esophagectomy; D004946:Esophagostomy; D006801:Humans; D007582:Jejunostomy; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*