Successful repair of an aortoesophageal fistula with aneurysm from esophageal diverticulum.
Aortoesophageal fistula is a rare, frequently fatal, cause of upper gastrointestinal bleeding, and there are few reported survivors of it. We report a successful surgical case of aortoesophageal fistula associated with an infective thoracic aortic aneurysm. The patient had been diagnosed as having an esophageal diverticulum 8 months before admission. The aortoesophageal fistula was completely resected, followed by esophagojejunum anastomosis and patch closure for the entry of the aneurysm and omental coverage to the wall of the descending aorta in one stage. In this case, esophageal diverticulum was diagnosed before the development of an aortoesophageal fistula associated with an aneurysm.
Yasuda
Fuyuhiko
F
Department of Thoracic and Cardiovascular Surgery and The Second Department of Surgery, Mie University School of Medicine, Tsu, Japan.
Shimono
Takatsugu
T
Tonouchi
Hitoshi
H
Shimpo
Hideto
H
Yada
Isao
I
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D004936:Diverticulum, Esophageal / Q000000981:diagnostic imaging / Q000601:surgery*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*