Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The typical symptoms known as the Chiari´s triad are only present in 45% of reported cases. We present the case of a patient with upper gastrointestinal bleeding due to an aortoesophageal fistula as well as the importance of endoscopic use for its differential diagnosis.
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| http://dx.doi.org/10.17235/reed.2023.9479/2023 | DOI Listing |
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Aortoesophageal fistula 19 years after radiotherapy for oesophageal cancer: a case report.
Eur Heart J Case Rep
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Department of Cardiovascular Surgery, Higashiosaka City Medical Center, 3-4-5, Nishiiwata, Higashiosaka, Osaka 578-8588, Japan.
Background: Aortoesophageal fistula (AEF) is a life-threatening disease that causes massive bleeding, sepsis, and ultimately death. Therefore, emergency treatments are required. Recently, cases of AEF treated with thoracic endovascular aortic repair (TEVAR) have been reported.
View Article and Find Full Text PDFAortoesophageal fistula as a rare cause of upper gastrointestinal hemorrhage.
Rev Esp Enferm Dig
December 2024
Gastrenterology, ULS Viseu Dão Lafões.
An aortoesophageal fistula (AEF) is an exceedingly rare and life-threatening cause of upper gastrointestinal bleeding, particularly in patients with vascular prostheses. Endoscopic findings in such cases are scarcely described. We describe a 73-year-old male admitted to the emergency department with hematemesis and altered consciousness.
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 PDFArticle Synopsis
- Aortoesophageal fistulas (AEFs) are serious complications from thoracic aortic aneurysms that lead to high mortality due to massive upper gastrointestinal bleeding.
- A 46-year-old patient with an infected thoracic aortic aneurysm developed an AEF, prompting emergency surgery and the use of a Foley catheter to temporarily control bleeding.
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Clinical Characteristics and Early Surgical Outcomes of Aortoesophageal Fistula.
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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.
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