title: Repair of secondary aortoesophageal fistula by endoluminal stent-grafting.
abstract: 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.
authors.affiliation: Department of Surgery, Guy's & St. Thomas' Hospital Trust, London, England, UK.
authors.forename: S E
authors.initials: SE
authors.lastname: Bond
authors.forename: C L
authors.initials: CL
authors.lastname: McGuinness
authors.forename: J F
authors.initials: JF
authors.lastname: Reidy
authors.forename: P R
authors.initials: PR
authors.lastname: Taylor
mesh_terms: 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*