Lethal hemorrhage caused by aortoesophageal fistula secondary to stent-graft repair of the thoracic aorta.
Aortoesophageal fistula (AEF) is a rare but life-threatening complication after endovascular or surgical aortic repair. Here we report a patient with AEF secondary to aortic stent-placement 2 years earlier who presented with hematemesis and died from hemorrhagic shock. By means of this case and the literature, we highlight potential bleeding sources in such a scenario because this is of crucial importance for the management strategy.
Sager
Hendrik B
HB
Medizinische Klinik II, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany, hendrik.sager@uk-sh.de
Wellhöner
Peter
P
Wermelt
Johanna A
JA
Schunkert
Heribert
H
Kurowski
Volkhard
V
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003952:Diagnostic Imaging; D004937:Esophageal Fistula / Q000150:complications*; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D015607:Stents; D016157:Vascular Fistula / Q000150:complications*