title: Secondary aorto-esophageal fistula after thoracic aortic aneurysm endovascular repair treated by covered esophageal stenting.
abstract: Thoracic endovascular aortic repair for thoracic aortic aneurysms is an accepted alternative to open surgery, especially in patients with significant comorbidities. The procedure itself has a low risk of complications and fistulas to surrounding organs are rarely reported. An 86-year-old patient was admitted to our hospital with gastro intestinal (GI) bleeding and a suspected aortoesophageal fistula. Eight months prior, the patient had undergone a stent graft repair of a mycotic thoracic aneurysm. Computerized tomography angiography and upper GI endoscopy confirmed an aortoesophageal fistula, which was treated by esophageal stenting. With early recognition, esophageal stenting may have a role in the initial emergency control of bleeding from and palliation of aortoesophageal fistula.
authors: Mary Tao, Graham Roche-Nagle, Division of Vascular Surgery, Toronto General Hospital, Toronto M5G 2C4, Ontario, Canada.
authors: Mary
authors: M
authors: Tao
authors: Mary Tao, Graham Roche-Nagle, Division of Vascular Surgery, Toronto General Hospital, Toronto M5G 2C4, Ontario, Canada.
authors: Eran
authors: E
authors: Shlomovitz
authors: Mary Tao, Graham Roche-Nagle, Division of Vascular Surgery, Toronto General Hospital, Toronto M5G 2C4, Ontario, Canada.
authors: Gail
authors: G
authors: Darling
authors: Mary Tao, Graham Roche-Nagle, Division of Vascular Surgery, Toronto General Hospital, Toronto M5G 2C4, Ontario, Canada.
authors: Graham
authors: G
authors: Roche-Nagle
keywords: Aortic aneurysm; Bleeding; Endovascular therapy