title: Successful Treatment of Esophageal Necrosis Secondary to Acute Type B Aortic Dissection.
abstract: Esophageal necrosis after descending aortic dissection has been described but with no reports of successful treatment. A 66-year-old man with aortic dissection extending from the left subclavian artery through the common iliac arteries subsequently experienced esophageal necrosis. He underwent thoracic esophagectomy, cervical end esophagostomy, and open gastrostomy tube placement. Gastrointestinal continuity was established with a gastric tube conduit in the substernal plane. An oral diet was tolerated after reconstruction. Treatment of esophageal necrosis after aortic dissection may require esophageal diversion and esophagectomy. Esophageal continuity can later be restored while avoiding the posterior mediastinum.
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas. Electronic address: kyladjoubert@gmail.com.
authors.forename: Kyla D
authors.initials: KD
authors.lastname: Joubert
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Richard D
authors.initials: RD
authors.lastname: Betzold
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Division of Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Steliga
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery; D004935:Esophageal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D006801:Humans; D008297:Male