title: Combined endovascular treatment of aorto-oesophageal fistula with mediastinitis.
abstract: False aortic aneurysm is an uncommon complication after oesophageal perforation and results in a high rate of mortality. A 63-year-old patient presented with acute chest pain. Biochemical tests (cardiac enzymes) and electrocardiogram were normal. A thoracic and abdominal CT scan was performed, and showed a foreign body in the posterior mediastinum, with mediastinal cellulitis and a false aortic aneurysm. Surgical endovascular management was performed, with stenting of the thoracic aorta and oesophageal exploration.
authors.affiliation: Department of Thoracic Surgery, Amiens South Hospital, University of Picardie, Amiens, France. berna-pascal@chu-amiens.fr
authors.forename: Pascal
authors.initials: P
authors.lastname: Berna
authors.forename: Aurélien
authors.initials: A
authors.lastname: Pequignot
authors.forename: Pierre
authors.initials: P
authors.lastname: De Temmerman
authors.forename: Florence
authors.initials: F
authors.lastname: De Dominicis
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002481:Cellulitis / Q000209:etiology; D002637:Chest Pain / Q000209:etiology; D057510:Endovascular Procedures / Q000295:instrumentation; D004750:Enteral Nutrition; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D015607:Stents; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D054328:Proton Pump Inhibitors