Successful repair of an aortoesophageal fistula caused by a thoracic aortic aneurysm: report of a case.
Aortoesophageal fistula occurring as a complication of a thoracic aortic aneurysm is difficult to repair because of the contaminated surgical field. We report the case of a 67-year-old man in whom an aortoesophageal fistula developed secondary to a dissecting thoracic aortic aneurysm. We performed in situ graft repair of the aneurysm, then covered the site with omentum and resected the esophagus to prevent graft infection. About 5 months later, the esophagus was reconstructed subcutaneously using an ascending colon pedicle. The patient recovered well and has resumed leading a normal life.
Tokuda
Yoshiyuki
Y
Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima, Tenri, Nara, Japan.
Matsumoto
Masahiko
M
Sugita
Takaaki
T
Nishizawa
Junichiro
J
Matsuyama
Katsuhiko
K
Yoshida
Kazunori
K
Matsuo
Takehiko
T
Awane
Masaaki
M
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D016157:Vascular Fistula / Q000209:etiology / Q000601:surgery*