title: Successful surgical treatment of aortoesophageal fistula after esophagectomy.
abstract: We report a 65-year-old man with complications of aortoesophageal fistula after esophagectomy. A combined middle-lower esophagectomy with remnant gastrectomy was performed for esophageal cancer. The alimentary tract was restored by intrathoracic esophagojejunal anastomosis using a surgical stapler. Twenty-four days later the patient suddenly had hypovolemic shock develop due to aortoesophageal fistula. We performed emergency surgery, and the aortic fistula was directly closed with a 3-0 monofilament using abdominal fascia as a pledget. Thirty-eight days later, alimentary reconstruction was performed using a free jejunal graft. Aortic pseudoaneurysm due to direct closure was predictably detected, and transluminal endovascular stent grafting was indicated.
authors.affiliation: Department of Surgery, Hiroshima Asa City Hospital, Hiroshima, Japan. rokita@shikoku-cc.go.jp
authors.forename: Riki
authors.initials: R
authors.lastname: Okita
authors.forename: Hidenori
authors.initials: H
authors.lastname: Mukaida
authors.forename: Wataru
authors.initials: W
authors.lastname: Takiyama
authors.forename: Mamoru
authors.initials: M
authors.lastname: Oheda
authors.forename: Naomichi
authors.initials: N
authors.lastname: Uchida
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishihara
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery*; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012074:Remission Induction; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery*