title: Delayed presentation of aortoesophageal fistula after endovascular repair.
abstract: The incidence of aortoesophageal fistula after thoracic endovascular aortic repair has increased following an increase in thoracic endovascular aortic procedures. A 68-year-old man was diagnosed with aortoesophageal fistula 6 years after thoracic endovascular aortic repair of a descending aortic aneurysm. Due to massive hematemesis and instability, he underwent a left thoracotomy, graft repair of the aorta with stent removal, gastrostomy, and proximal esophagostomy. Unfortunately, he died 1 week later due to sepsis. Aortoesophageal fistula may present long after thoracic endovascular aortic repair, and clinicians treating such cases should always be aware of this complication.
authors.affiliation: Department of Cardiac Surgery, Evangelismos General Hospital, Athens, Greece kouritas@otenet.gr.
authors.forename: Vasileios K
authors.initials: VK
authors.lastname: Kouritas
authors.affiliation: Department of Cardiac Surgery, Evangelismos General Hospital, Athens, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Dedeilias
authors.affiliation: Department of Anesthetics, Evangelismos General Hospital, Athens, Greece.
authors.forename: Konstantina
authors.initials: K
authors.lastname: Sotiriou
authors.affiliation: 2nd Department of Surgery, Evangelismos General Hospital, Athens, Greece.
authors.forename: Serafim
authors.initials: S
authors.lastname: Klimopoulos
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004946:Esophagostomy; D017809:Fatal Outcome; D005774:Gastrostomy; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D008297:Male; D012086:Reoperation; D012307:Risk Factors; D018805:Sepsis / Q000209:etiology; D015607:Stents; D013908:Thoracotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: Aortic aneurysm; Blood vessel prosthesis implantation; Esophageal fistula; Vascular fistula