title: Two-stage treatment of a secondary aortoesophageal fistula after thoracic endovascular aneurysm repair.
abstract: Secondary aortoesophageal fistula is a relatively rare but very often lethal complication that may develop after thoracic endovascular aneurysm repair (TEVAR). The clinical syndrome is well explained by the Chiari triad: midthoracic pain and/or dysphagia, and sentinel minor hematemesis followed by massive hematemesis. The incidence of this serious complication has increased with the growing number of patients undergoing TEVAR. This case report describes a patient who was seen in the emergency department at this hospital because of fever, sepsis and thoracic pain radiating to the back and unresponsive to drug therapy, diagnosed with a secondary aortoesophageal fistula and subsequently treated with a two stage surgical procedure.
authors.affiliation: Unit of Vascular Surgery, University of Turin, Molinette Hospital, Turin, Italy. pietro.rispoli@unito.it
authors.forename: P
authors.initials: P
authors.lastname: Rispoli
authors.forename: U
authors.initials: U
authors.lastname: Bertoldo
authors.forename: A
authors.initials: A
authors.lastname: Oliaro
authors.forename: C
authors.initials: C
authors.lastname: Mossetti
authors.forename: G F
authors.initials: GF
authors.lastname: Varetto
authors.forename: C
authors.initials: C
authors.lastname: Tallia
authors.forename: A
authors.initials: A
authors.lastname: Campanella
authors.forename: M
authors.initials: M
authors.lastname: Rinaldi
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D020878:Device Removal; D013505:Digestive System Surgical Procedures; D057510:Endovascular Procedures / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004946:Esophagostomy; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome