title: Aortobronchial fistula after esophagectomy for esophageal cancer -- a very rare complication.
abstract: Most aorto-respiratory fistulas are related to aortic pathology or procedures, but fistula formation after esophageal resection has never been reported in the literature. We are now reporting a case of hemoptysis that occurred after esophagectomy for locally advanced esophageal cancer. Aortobronchial fistula was detected by computed tomography scan. The patient was finally saved by emergency surgery-Dacron graft interposition of the descending thoracic aorta. There was no malignant cell in the postoperative specimen of the fistula. The erosion of the ligaclips (Johnson & Johnson) might be responsible for the aortobronchial fistula formation. For esophageal surgery, avoidance of trauma to aortic wall and careful using of ligaclips are important to circumvent this complication.
authors: Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors: Hsien-Pin
authors: HP
authors: Li
authors: Chong-Chao
authors: CC
authors: Hsieh
authors: Hung-Hsing
authors: HH
authors: Chiang
authors: Tung-Heng
authors: TH
authors: Wang
authors: Jui-Ying
authors: JY
authors: Lee
authors: Meei-Feng
authors: MF
authors: Huang
authors: Shah-Hwa
authors: SH
authors: Chou
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