title: Esophageal and bronchial perforations after thoracic aortic aneurysm replacement: successful repair with covered metallic stents.
abstract: Esophageal and bronchial perforations are rare but potentially fatal complications of descending thoracic aortic aneurysm replacement. This report presents a 67-year-old man with both esophageal and bronchial perforations that occurred after descending thoracic aortic aneurysm replacement. Surgical repair was performed, but the lesions perforated again. Two covered metallic stent prostheses introduced into both the esophagus and left main bronchus led to the improvement of mediastinitis by sealing the perforations. To our knowledge, this is the first report describing successful treatment for esophageal and bronchial perforations using covered metallic stents. Placement of covered metallic stents can be an option for the treatment of patients with esophagorespiratory tract perforations, especially those who are in critical condition.
authors.affiliation: Department of Radiology, Omura Municipal Hospital, Kogashima-chou 133-22, Omura 856-0817, Japan. EijunSueyoshi@aol.com
authors.forename: Eijun
authors.initials: E
authors.lastname: Sueyoshi
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Imada
authors.forename: Ichiro
authors.initials: I
authors.lastname: Sakamoto
authors.forename: Masataka
authors.initials: M
authors.lastname: Uetani
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Hayashi
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001980:Bronchi / Q000293:injuries / Q000601:surgery*; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008670:Metals; D015607:Stents; D016896:Treatment Outcome
chemical_list: D008670:Metals