title: Arterial-esophageal fistula: a severe complication in children with cardiovascular abnormalities.
abstract: Fistulae between esophagus and major arteries are an extremely rare and severe condition. They have been described in patients with previous impairment or abnormalities of mediastinal vessels and intraesophageal increased pressure or as a complication of cardiovascular procedures. We report three cases of children with an aorto-esophageal fistula, a collateral pulmonary artery-esophageal fistula and an aberrant right subclavian artery-esophageal fistula that were successfully managed in coordination with pediatricians, anesthesiologists and both cardiovascular and pediatric surgeons. The severity of this pathology makes it important to suspect it and treat it by a multidisciplinary group of physicians.
authors.affiliation: Hospital Universitario 12 de Octubre, Madrid, Spain. sarafuentesc@yahoo.es
authors.forename: Sara
authors.initials: S
authors.lastname: Fuentes
authors.forename: Indalecio
authors.initials: I
authors.lastname: Cano
authors.forename: María
authors.initials: M
authors.lastname: López
authors.forename: Cecilia
authors.initials: C
authors.lastname: Moreno
authors.forename: Raquel
authors.initials: R
authors.lastname: Tejedor
authors.forename: Stefano
authors.initials: S
authors.lastname: Marianeschi
authors.forename: Enrique
authors.initials: E
authors.lastname: García
authors.forename: Andrés
authors.initials: A
authors.lastname: Gómez
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities*; D003097:Collateral Circulation; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000002:abnormalities*; D013348:Subclavian Artery / Q000002:abnormalities*