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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2012 August;53(4):531-5

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Two-stage treatment of a secondary aortoesophageal fistula after thoracic endovascular aneurysm repair

Rispoli P. 1, Bertoldo U. 1, Oliaro A. 2, Mossetti C. 2, Varetto G. F. 1, Tallia C. 1, Campanella A. 3, Rinaldi M. 3

1 Unit of Vascular Surgery, University of Turin, Molinette Hospital, Turin, Italy; 2 Unit of Thoracic Surgery, University of Turin, Molinette Hospital, Turin, Italy; 3 Unit of Cardiac Surgery, University of Turin, Molinette Hospital, Turin, Italy


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Secondary aortoesophageal fistula is a relatively rare but very often lethal complication that may develop after thoracic endovascular aneurysm repair (TEVAR). The clinical syndrome is well explained by the Chiari triad: midthoracic pain and/or dysphagia, and sentinel minor hematemesis followed by massive hematemesis. The incidence of this serious complication has increased with the growing number of patients undergoing TEVAR. This case report describes a patient who was seen in the emergency department at this hospital because of fever, sepsis and thoracic pain radiating to the back and unresponsive to drug therapy, diagnosed with a secondary aortoesophageal fistula and subsequently treated with a two stage surgical procedure.

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pietro.rispoli@unito.it