title: Single-stage endovascular treatment of an infected subclavian arterio-oesophagal fistula.
abstract: Oesophagal perforation after foreign body ingestion may result in an arterio-oesophageal fistula. We present a case of a man who presented with haematemesis and hypovolemic shock after ingestion of a chicken bone. Imaging revealed an infected fistula between the oesophagus and the left subclavian artery. Haemorrhage stopped after endovascular deployment of a stent graft in the subclavian artery. Aftercare consisted of intravenous antibiotics and parenteral feeding. The patient was discharged after 3 weeks and he encountered no infectious or vascular problems on follow-up. This unique case deals with a patient in whom an infected arterio-oesophageal fistula was successfully treated with a vascular stent-graft, thereby avoiding open surgical repair.
authors.affiliation: Department of Radiology, University Hospitals Leuven, Leuven, Belgium.
authors.forename: Bernard
authors.initials: B
authors.lastname: Floré
authors.forename: Sam
authors.initials: S
authors.lastname: Heye
authors.forename: Philippe
authors.initials: P
authors.lastname: Nafteux
authors.forename: Geert
authors.initials: G
authors.lastname: Maleux
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004937:Esophageal Fistula; D006801:Humans; D008297:Male; D008480:Mediastinitis; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016157:Vascular Fistula
keywords: Blood vessel prosthesis implantation; Endovascular procedure; Mediastinitis; Oesophageal fistula; Subclavian artery