title: Endovascular exclusion of aortoesophageal fistula after coarctation extraanatomical bypass.
abstract: Extraanatomical bypass has been advocated as the primary technique in adolescents or adults presenting with aortic coarctation. This approach carries significant morbidity, and graft-related complications may be more important in the young patient population. A 52-year-old man who had previously undergone extraanatomical bypass of aortic coarctation was diagnosed with a distal anastomotic pseudoaneurysm and aortoesophageal fistula. This was managed by proximal bypass plugging with an occluder, endovascular exclusion with a stent-graft in the thoracic descending aorta covering the pseudoaneurysm, and coarctation balloon dilation. Aortoesophageal fistula is a late complication observed after extraanatomical bypass for coarctation. This case illustrates this rare complication.
authors.affiliation: Division of Cardiovascular Surgery, Geneva University Hospitals and School of Medicine, Geneva, Switzerland. Electronic address: patrick.myers@hcuge.ch.
authors.forename: Patrick O
authors.initials: PO
authors.lastname: Myers
authors.affiliation: Division of Cardiovascular Surgery, Geneva University Hospitals and School of Medicine, Geneva, Switzerland.
authors.forename: Gino
authors.initials: G
authors.lastname: Gemayel
authors.affiliation: Division of Cardiovascular Surgery, Geneva University Hospitals and School of Medicine, Geneva, Switzerland.
authors.forename: Damiano
authors.initials: D
authors.lastname: Mugnai
authors.affiliation: Division of Cardiovascular Surgery, Geneva University Hospitals and School of Medicine, Geneva, Switzerland.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Murith
authors.affiliation: Division of Cardiovascular Surgery, Geneva University Hospitals and School of Medicine, Geneva, Switzerland.
authors.forename: Afksendiyos
authors.initials: A
authors.lastname: Kalangos
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000379:methods*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*