title: Tracheo-Bronchial Obstruction and Esophageal Perforation after TEVAR for Thoracic Aortic Rupture.
abstract: A 67-year-old man was referred to our hospital for an ascending aortic aneurysm, thoracoabdominal aortic aneurysm and aortic regurgitation. Graft repair of the thoracic aortic arch and aortic valve replacement was given priority and completed, however he developed descending aortic rupture before the second scheduled surgery, and endovascular stent grafting was performed. He subsequently developed tracheobronchial obstruction and esophageal perforation. The patient underwent urgent esophagectomy and enterostomy with continuity later reestablished. However, he died of sepsis 5 months after surgery. Despite the less invasive nature of endovascular treatment, esophageal perforation can nevertheless occur and postoperative vigilance is well warranted.
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Tatsuichiro
authors.initials: T
authors.lastname: Seto
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Fukui
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Haruki
authors.initials: H
authors.lastname: Tanaka
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Komatsu
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Ohtsu
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Terasaki
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Wada
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Tamaki
authors.initials: T
authors.lastname: Takano
authors.affiliation: Department of Surgery, Matsumoto Medical Center, Matsumoto, Nagano, Japan.
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Koike
authors.affiliation: Department of Cardiovascular Surgery, Fujimikogen Hospital, Suwa-gun, Nagano, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Amano
keywords: aortoesophageal fistula; thoracic endovascular aortic repair; tracheobronchial obstruction