Successful management of an aortoesophageal fistula resulting from an aneurysm of the thoracic aorta with a covered stent.
Aortoesophageal fistula (AEF) is a relatively rare but life-threatening cause of upper gastrointestinal bleeding. There have been only a few survivors previously reported. There are controversies particularly regarding the treatment of the esophagus and postoperative infections. We report a case of an elderly man with an aortoesophageal fistula resulting from a thoracic aortic aneurysm. We managed the replacement of the aorta using a prosthetic graft, and an omentopexy for the fistula of the esophagus. For the treatment of leakage of the esophageal fistula, we successfully used a covered stent. This is the first report of the management of AEF using a covered stent.
Shiraishi
S
S
Department of 2nd Surgery, Shiga University of Medical Science, Shiga, Japan.
Watarida
S
S
Matsubayashi
K
K
Motoishi
M
M
Satsu
T
T
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents