Aortoesophageal Fistula Secondary to Thoracic Endovascular Aortic Repair of a Descending Aortic Aneurysm Rupture

被引:12
|
作者
Yavuz, Sadan [1 ]
Kanko, Muhip [1 ]
Ciftci, Ercument [2 ]
Parlar, Hakan [1 ]
Agirbas, Huseyin [1 ]
Berki, Turan [1 ]
机构
[1] Kocaeli Univ, Sch Med, Dept Cardiovasc Surg, TR-41100 Kocaeli, Turkey
[2] Kocaeli Univ, Sch Med, Dept Invas Radiol, Angiol Unit, TR-41100 Kocaeli, Turkey
来源
HEART SURGERY FORUM | 2011年 / 14卷 / 04期
关键词
STENT-GRAFT PLACEMENT; COMPLICATIONS; DISSECTIONS;
D O I
10.1532/HSF98.20101179
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We present the case of a patient who developed an aortoesophageal fistula (AEF) 4 years after thoracic endovascular aortic repair (TEVAR) of a descending thoracic aortic aneurysm rupture. Case Report: A 60-year-old female patient underwent emergency stent graft placement in December 2006 because of rupture of a distal descending aortic aneurysm. The patient was discharged uneventfully. Four years later, the patient was readmitted because of recurrent hematemesis, weight loss, and malaise. A computed tomography scan and an upper gastrointestinal system (GIS) endoscopy examination revealed an AEF located at the midportion of the esophagus and at the caudal end of the stent graft. An emergency stent graft was re-replaced into the previous graft. The patient died from hemorrhagic shock due to massive GIS bleeding while she was being prepared for secondary major esophageal surgery. Conclusion: AEF is a catastrophic complication of TEVAR. Conservative treatment is often associated with fatal results. If possible, these patients should be treated with secondary major surgical procedures.
引用
收藏
页码:E249 / E251
页数:3
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