title: Esophageal fistula after endovascular treatment in a type B aortic dissection of the descending thoracic aorta.
abstract: We report a type B aortic dissection treated with stenting of the descending thoracic aorta that subsequently developed an ischemic necrosis of the esophagus with a posterior mediastinum abscess. The surgical treatment consisted of an extra-anatomic bypass to revascularize the supra-aortic trunks and the distal abdominal aorta through a middle sternal laparotomy, the resection of the thoracic aorta, and the drainage of the mediastinal abscess. Despite this aggressive surgical approach and an initial favorable postoperative course, the patient suddenly died 3 weeks later, likely from a rupture of the aortic stump.
authors.affiliation: Cardiac Surgery Department, Grenoble University Hospital, France.
authors.forename: Paolo
authors.initials: P
authors.lastname: Porcu
authors.forename: Olivier
authors.initials: O
authors.lastname: Chavanon
authors.forename: Carmine
authors.initials: C
authors.lastname: Sessa
authors.forename: Frédéric
authors.initials: F
authors.lastname: Thony
authors.forename: Axel
authors.initials: A
authors.lastname: Aubert
authors.forename: Dominique
authors.initials: D
authors.lastname: Blin
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D017130:Angioplasty / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents