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Fatal complications of aortoesophageal fistula caused by pseudoaneurysm following esophageal stent placement: A case report.
Medicine (Baltimore)
January 2025
Gastroenterology, Chongqing University Cancer Hospital, Chongqing, China.
Rationale: Aortoesophageal fistula (AEF) is an exceedingly rare yet critically life-threatening condition, with mortality rates nearing 100% if not addressed promptly. AEF often develops in the context of thoracic aortic aneurysms, esophageal malignancies, or as a complication of foreign body ingestion and prior thoracic aortic surgeries. This study reports an exceptionally severe and clinically rare case of AEF associated with a pseudaneurysm induced by esophageal stenting.
View Article and Find Full Text PDFManagement of an Aortoesophageal Fistula With Esophageal Endoluminal Wound Vacuum Therapy.
Ann Thorac Surg Short Rep
September 2024
Department of Cardiothoracic Surgery, Loma Linda University Health, Loma Linda, California.
A 39-year-old man with past medical history of type A aortic dissection presented to the emergency department with hematemesis, hypotension, and tachycardia. Imaging revealed an aortoesophageal fistula. The patient was taken emergently for thoracic endovascular aortic repair to cover the area of potential fistula.
View Article and Find Full Text PDFSingle-Stage Surgical Approach to Aortoesophageal Fistula After Thoracic Endovascular Aortic Repair.
Ann Thorac Surg Short Rep
September 2024
Department of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Background: The aortoesophageal fistula (AEF) caused by thoracic endovascular aortic repair is a challenging condition. Traditional treatment approaches have been associated with high mortality and morbidity. This study introduces a modified single-stage surgical strategy that aims to optimize outcomes and to reduce the risk of recurrence for AEF.
View Article and Find Full Text PDFAortoesophageal Fistula in a Patient With Recent Endoscopic Balloon Dilation and History of Esophageal Myotomies for Achalasia.
Gastro Hep Adv
August 2024
Gastroenterology Department, Hennepin Healthcare, Minneapolis, Minnesota.
Mechanism and Management of Aorto-Esophageal Fistulation after Thoracic Endovascular Aortic Repair.
Ann Vasc Surg
December 2024
Department of Cardiac and Vascular Surgery, University Medical Centre Mainz, Johannes Gutenberg University, Mainz, Germany.
An aorto-esophageal fistula (AOF) is a pathological communication between the thoracic aorta and the esophagus. It can induce life-threatening hematemesis, which is unique among the other types of gastrointestinal hemorrhage in that the vomiting is bright red and represents an arterial bleed. Nevertheless, it is notable that over 70% of cases are associated with thoracic aortic aneurysms, particularly as a postoperative complication following open surgery, and arguably more so following endovascular repair.
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