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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR SECTION
The Journal of Cardiovascular Surgery 2002 February;43(1):95-8
Successful management of an aortoesophageal fistula resulting from an aneurysm of the thoracic aorta with a covered stent
Shiraishi S., Watarida S., Matsubayashi K., Motoishi M., Satsu T.
From the Department of 2nd Surgery Shiga University of Medical Science, Shiga, Japan
Aortoesophageal fistula (AEF) is a relatively rare but life-threatening cause of upper gastrointestinal bleeding. There have been only a few survivors previously reported. There are controversies particularly regarding the treatment of the esophagus and postoperative infections. We report a case of an elderly man with an aortoesophageal fistula resulting from a thoracic aortic aneurysm. We managed the replacement of the aorta using a prosthetic graft, and an omentopexy for the fistula of the esophagus. For the treatment of leakage of the esophageal fistula, we successfully used a covered stent. This is the first report of the management of AEF using a covered stent.