AI Article Synopsis
- Aorto-oesophageal fistulae are rare, making up less than 10% of all aortoenteric fistulae and occurring in 1.9% of patients after thoracic endovascular aortic repair for aneurysms.
- Untreated, this condition has a nearly 100% mortality rate.
- A 74-year-old man with this complication underwent surgery to replace his thoracic aorta and seal the fistula using omentum, which was also used to wrap the new aorta.
Article Abstract
Aorto-oesophageal fistulae represent <10% of all aortoenteric fistulae and occur in 1.9% of patients who undergo thoracic endovascular aortic repair for treatment of thoracic aortic aneurysms. Untreated patients have a mortality close to 100%. A 74-year-old man had aorto-oesophageal fistulae secondary to thoracic endovascular aortic repair. He had a functioning left internal thoracic artery graft to the left anterior descending artery and a calcific distal aortic arch. He underwent replacement of the thoracic aorta and sealing of the fistulous tract with omentum, and the latter was used to wrap the neoaorta.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/icvts/ivx347 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Mechanism and management of aorto-oesophageal 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-oesophageal fistula (AOF) is a pathological communication between the thoracic aorta and the oesophagus. It can induce life-threatening hematemesis, which is unique among the other types of gastrointestinal haemorrhage 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.
View Article and Find Full Text PDFThoracic 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 PDFAorto-esophageal Fistula Management.
Thorac Surg Clin
November 2024
Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Aorto-esophageal fistula is a rare but life-threatening source of massive upper gastrointestinal bleeding. Prompt diagnosis and intervention are key for patient survival. Treatments consist of aortic resection, thoracic endovascular aortic repair, esophagectomy with diversion, and primary esophageal repair.
View Article and Find Full Text PDFMediastinal abscess and bacteremia due to complicated by aorto-esophageal fistula leading to death with massive bleeding in a 70-year-old Japanese man with gastric cancer.
IDCases
September 2024
Department of General Internal Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Article Synopsis
- Elderly individuals with underlying conditions can develop bacteremia from cellulitis, leading to severe complications like mediastinal abscesses and aorto-esophageal fistulas.
- A case study presented involved a patient with gastric cancer who experienced recurrent bacteremia, which was suspected to contribute to a mediastinal abscess that was only confirmed post-mortem.
- The mediastinal abscess progressed into the esophagus and aorta, resulting in a life-threatening fistula and massive hemorrhage, ultimately causing the patient's death.
Mycotic aneurysms: uncommon pathogens and treatment conundrums.
Access Microbiol
August 2024
Department of Medicine and Infectious Diseases, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Mycotic aneurysms, characterized by vessel wall dilation resulting from infections including bacteria, fungi, and viruses, are a rare but severe consequence of systemic infections. The term 'mycotic' was coined by William Osler to describe the first instance of a fungal-induced infected aneurysm. These aneurysms, accounting for 0.
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!