Thoracic endovascular aortic repair for a descending thoracic aortic aneurysm is an excellent alternative to open surgery, especially in patients with a number of comorbidities. It may cause fatal complications, including aortoesophageal fistula, but these are very rare. Here, we report the case of secondary aortoesophageal fistula four months after the procedure for a huge descending thoracic aortic aneurysm, which presented with new-onset high-grade fever accompanied by elevated inflammatory markers.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4261/1305-3825.DIR.5912-12.1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Thoracic Endovascular Aortic Repair For The Management of Aorto-Esophageal Fistulae: A Systematic Review.
J Endovasc Ther
November 2024
Cardiac Surgery Unit, Cardiocentro Ticino Institute, EOC, Lugano, Switzerland.
Objective: Aorto-esophageal fistula (AEF) is a rare condition consisting in a fistula between the aorta and the esophagus. The thoracic endovascular aortic repair (TEVAR) has become an accepted treatment for initial AEF management, but large series are not available and outcomes are questionable. This study aims at evaluating the current evidence of TEVAR in AEF.
View Article and Find Full Text PDFClinical Characteristics and Early Surgical Outcomes of Aortoesophageal Fistula.
Ann Thorac Surg
October 2024
Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan. Electronic address:
Article Synopsis
- A study analyzing the surgical treatment of aortoesophageal fistula (AEF) from 2020 to 2021 in Japan revealed that 61% of cases were secondary AEF, often arising from previous aortic surgeries.
- Among 123 patients, the operative mortality rate was 18.7%, with significant factors contributing to mortality including postoperative complications like bleeding, stroke, and pneumonia.
- The findings highlight the need for improved treatment strategies for AEF, as both surgical methods (open repair and TEVAR) were linked to high mortality rates and specific risk factors like dyslipidemia.
Surgical treatment of graft infection combined with aortoesophageal fistula after TEVAR: a retrospective single-center, single-arm study.
J Cardiothorac Surg
September 2024
Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Objective: Aortoesophageal fistula (AEF) secondary to thoracic aortic endovascular repair (TEVAR) is rare and fatal. The author reports the treatment methods and outcomes of 10 patients with a TEVAR graft infection and an aortoesophageal fistula.
Method: A retrospective analysis was conducted on the clinical data of 10 patients who developed a secondary AEF and a graft infection after TEVAR from March 2018 to March 2024.
Aortoesophageal fistula (AEF) is an uncommon complication of esophageal cancer and can be extremely fatal if left untreated. Compared to open repair, thoracic endovascular aortic repair (TEVAR), a less invasive technique, is the initial recommended treatment in cases of hemorrhagic shock secondary to AEF, as this procedure showed a favorable outcome in controlling the overt bleeding. Here, we present a case of a patient with a history of stage IV esophageal cancer being treated with chemotherapy and an esophageal stent due to a previous tracheoesophageal fistula who presented to the emergency room due to severe gastroesophageal bleeding and hemorrhagic shock.
View Article and Find Full Text PDFRole of thoracic endovascular aortic repair in T4b esophageal cancer management: a systematic review.
Dis Esophagus
October 2024
First Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
The incidence of T4b esophageal cancer with aortic invasion but without distant metastasis is estimated to be between 3.8% and 4.6% of all esophageal cancer cases.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!