Successful management of esophageal perforation due to an aortic arch aneurysm replacement.
We present the successful management of an esophageal perforation after aortic arch aneurysm replacement in a 64-year-old patient. Four weeks after surgical repair of a perforated aortic arch aneurysm, a contained perforation of the thoracic esophagus on the prosthesis was detected. A subtotal esophagectomy and reconstruction by pull-up of the stomach together with the greater omentum and high intrathoracic esophagogastrostomy was performed. The aortic prosthesis was covered by omentum. After a prolonged postoperative course, the patient was discharged from the hospital on a full oral diet. She is well after 1 year without signs of infection.
Grimminger
P
P
Department of General, Visceral, and Cancer Surgery, University of Cologne, Cologne, Germany.
Vallböhmer
D
D
Bludau
M
M
Brabender
J
J
Metzger
R
R
Hölscher
A H
AH
D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D016629:Esophagectomy; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D013270:Stomach / Q000601:surgery