title: Aortoesophageal fistula after thoracic endovascular aortic repair diagnosed and followed with endoscopy.
abstract: A 70-year-old man reported dysphagia two months after undergoing thoracic endovascular aortic repair (TEVAR). An endoscopic examination revealed a fistula between the esophagus and the thoracic aortic aneurysm, and computed tomography (CT) showed that the thoracic aortic aneurysm had increased in size. The patient was diagnosed with an aortoesophageal fistula (AEF), and surgical replacement of the thoracic aorta was performed. AEFs are a rare but typically fatal complication after TEVAR. Physicians should consider a diagnosis of AEF and perform endoscopic examinations and CT in patients who undergo TEVAR and subsequently complain of dysphagia.
authors: Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan.
authors: Daisuke
authors: D
authors: Chiba
authors: Norihiro
authors: N
authors: Hanabata
authors: Yasumitsu
authors: Y
authors: Araki
authors: Manabu
authors: M
authors: Sawaya
authors: Tetsuro
authors: T
authors: Yoshimura
authors: Masahiko
authors: M
authors: Aoki
authors: Tadashi
authors: T
authors: Shimoyama
authors: Shinsaku
authors: S
authors: Fukuda
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology*; D001018:Aortic Diseases / Q000209:etiology*; D057510:Endovascular Procedures / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000209:etiology*; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000209:etiology*