title: Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?
abstract: Exsanguinating hematemesis secondary to an aortoesophageal fistula from an impacted foreign body occurred in a patient with a vascular ring. This report describes successful resuscitation and repair in a 6-year-old boy who was transferred from an outside hospital in extremis with an aortoesophageal fistula from a foreign body in the presence of a vascular ring.
authors.affiliation: Division of Pediatric Cardiothoracic Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas. Electronic address: nclarke@umich.edu.
authors.forename: Nicholas S
authors.initials: NS
authors.lastname: Clarke
authors.affiliation: Division of Pediatric Cardiothoracic Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas.
authors.forename: Raghav
authors.initials: R
authors.lastname: Murthy
authors.affiliation: Division of Pediatric Anesthesia, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hernandez
authors.affiliation: Division of Pediatric Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas.
authors.forename: Steve
authors.initials: S
authors.lastname: Megison
authors.affiliation: Division of Pediatric Cardiothoracic Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas.
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Guleserian
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000379:methods; D002648:Child; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013524:Surgical Flaps; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods