title: Aortoesophageal fistula after endovascular repair for aberrant right subclavian artery aneurysm.
abstract: A 76-year-old woman with malignant rheumatic arthritis developed dysphagia and hoarseness secondary to an aberrant right subclavian artery aneurysm. We performed a hybrid endovascular repair with concomitant surgical treatment for the aberrant right subclavian artery aneurysm. One month after discharge, she was emergently admitted to our hospital because of chest pain and fever. We diagnosed aortoesophageal fistula and stent graft infection based on computed tomography, gallium scintigraphy, and esophagoscopy results. Esophagectomy, elimination of the infected stent graft, and muscle plombage were performed during several surgeries. However, she died of hemorrhagic shock secondary to an aortobronchial fistula.
authors.affiliation: Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine.
authors.forename: Akimasa
authors.initials: A
authors.lastname: Morisaki
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Hirai
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Hige
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Bito
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D018376:Cardiovascular Abnormalities / Q000601:surgery*; D003680:Deglutition Disorders / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D015607:Stents / Q000009:adverse effects; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery