Aortoesophageal fistula-relief of massive hematemesis with an endovascular stent-graft.
A 59-year-old man with an esophageal carcinoma developed massive hematemesis due to aortoesophageal fistula after irradiation therapy reached 58 Gy. Emergent treatment with an endovascular stent-graft was successfully performed and the patient followed an uneventful course until he died of pneumonia 4.5 months later, which was caused by a tracheoesophageal fistula. Stent-graft repair is a safe and effective method to treat aortoesophageal fistula and may be an alternative to surgical resection.
Kato
N
N
Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, Japan. kato@mri-gw.medic.mie-u.ac.jp
Tadanori
H
H
Tanaka
K
K
Yasuda
F
F
Iwata
M
M
Kawarada
Y
Y
Yada
I
I
Takeda
K
K
D001018:Aortic Diseases / Q000150:complications / Q000628:therapy*; D004937:Esophageal Fistula / Q000150:complications / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000532:radiotherapy; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries; D015607:Stents; D016157:Vascular Fistula / Q000150:complications / Q000628:therapy*