title: Primary pseudoaneurysm of the descending aorta.
abstract: Aortoesophageal fistula (AEF) is an atypical cause of massive hematemesis proving to be lethal if left untreated. We report a case of a 56-year-old man who presented with chest pain and hematemesis. He was diagnosed with pseudoaneurysm of the descending aorta and underwent open surgery for primary repair.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan.
authors.forename: Saulat H
authors.initials: SH
authors.lastname: Fatimi
authors.affiliation: Medical College, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan.
authors.forename: Anum I
authors.initials: AI
authors.lastname: Malik
authors.affiliation: Medical College, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan.
authors.forename: Awais
authors.initials: A
authors.lastname: Ashfaq
authors.affiliation: Medical College, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan.
authors.forename: Naquiya
authors.initials: N
authors.lastname: Murtaza
keywords: Aneurysm false/complications; Aneurysm false/mortality; Aneurysm false/surgery; Tracheoesophageal fistula/surgery