Aortoesophageal fistula after thoracic endovascular aortic repair and transthoracic embolization.
Endografts are more commonly being used to treat thoracic aortic aneurysms and other vascular lesions. Endoleaks are a potential complication of this treatment modality and can be associated with aneurysmal sac expansion and rupture. This case report presents a patient who developed a type IA endoleak after endograft repair of a descending thoracic aneurysm. The endoleak was successfully treated through computed tomographic-guided transthoracic embolization, although the patient experienced lower extremity paraparesis postprocedurally. The patient's endovascular repair was complicated by the development of an aortoesophageal fistula and endograft infection necessitating operative débridement and endograft explantation.
Riesenman
Paul J
PJ
Department of Surgery, Division of Vascular Surgery, University of North Carolina Hospitals, Chapel Hill, NC 27599, USA.
Farber
Mark A
MA
Mauro
Matthew A
MA
Selzman
Craig H
CH
Feins
Richard H
RH
D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000209:etiology* / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D020878:Device Removal; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D020335:Paraparesis / Q000209:etiology; D016459:Prosthesis-Related Infections / Q000209:etiology; D016157:Vascular Fistula / Q000209:etiology / Q000628:therapy*