Repair of secondary aortoesophageal fistula by endoluminal stent-grafting.
OBJECTIVE
To describe a case of secondary aortoesophageal fistula that was treated with an endoluminal stent-graft.


METHODS
A 58-year-old woman presented with hematemesis and melena. In 1974 she had an interposition graft repair of an aortic transection sustained during a traffic accident. At the examination in 1998, angiography demonstrated a mechanical disruption of the proximal anastomosis forming an aortoesophageal fistula. A 28-mm x 3.75-cm AneuRx stent-graft was introduced via a right femoral arteriotomy and deployed across the defect. Follow-up CT scans at 18 months showed exclusion of the false aneurysm with no evidence of infection; the patient remains well at >2 years after stent-graft implantation.


CONCLUSIONS
Endoluminal repair can be successful in achieving a satisfactory midterm outcome in cases of secondary aortoesophageal fistula.
Bond
S E
SE
Department of Surgery, Guy's & St. Thomas' Hospital Trust, London, England, UK.
McGuinness
C L
CL
Reidy
J F
JF
Taylor
P R
PR
D000714:Anastomosis, Surgical; D019072:Antibiotic Prophylaxis; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D008551:Melena / Q000209:etiology; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*