title: Successful management of esophagoparaprosthetic fistula after aortic surgery.
abstract: Aortoesophageal fistula is a relatively rare but highly fatal condition, especially in the case of secondary aortoesophageal fistulas after previous thoracic aortic surgery in which the aortic prosthetic graft itself may be involved in the infection, resulting in an esophagoparaprosthetic fistula. In this report, we describe a complicated case of esophagoparaprosthetic fistula arising after descending thoracic aortic replacement and endovascular pseudoaneurysm repair that was successfully treated by surgical resection and in situ aortic graft replacement using a homograft completely covered with an omental flap, combined with subtotal esophagectomy and staged reconstruction of the alimentary tract. The patient has been doing well for 24 months without signs of recurrent infection.
authors: Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan. shunsuke@mail.tains.tohoku.ac.jp
authors: Shunsuke
authors: S
authors: Kawamoto
authors: Yoshikatsu
authors: Y
authors: Saiki
authors: Katsuhiko
authors: K
authors: Oda
authors: Yoshio
authors: Y
authors: Nitta
authors: Jun-etsu
authors: JE
authors: Akasaka
authors: Shukichi
authors: S
authors: Miyazaki
authors: Koichi
authors: K
authors: Tabayashi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D020878:Device Removal; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D016629:Esophagectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D018570:Risk Assessment; D013524:Surgical Flaps; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome