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INTERNATIONAL ANGIOLOGY

Rivista di Angiologia


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2007 September;26(3):292-6

Copyright © 2007 EDIZIONI MINERVA MEDICA

lingua: Inglese

Aortoesophageal fistula following endovascular exclusion of a thoracic aneurysm

Martens K. 1, De Mey J. 2, Everaert H. 3, Delvaux G. 4, Van Den Brande P. 1

1 Department of Vascular Surgery, Academic Hospital, Free University of Brussels, Brussels, Belgium 2 Department of Radiology, Academic Hospital, Free University of Brussels, Brussels, Belgium 3 Department of Nuclear Medicine, Academic Hospital, Free University of Brussels, Brussels, Belgium 4 Department of General Surgery, Academic Hospital, Free University of Brussels, Brussels, Belgium


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The aim of this study was to report a case of aortoesophageal fistula following endovascular exclusion of a thoracic aneurysm, treated conservatively with fatal outcome. Endovascular exclusion of a thoracic aneurysm was performed in a 64-year-old female patient. Three months later the diagnosis of an aortoesophageal fistula was made and minimal surgery (cervicotomy and jejunostomy) was performed, combined with antibiotherapy and catheter flushing of the infected excluded aneurysm thrombus. The patient died in septic shock 9 weeks later. As reported, following conventional thoracic aortic aneurysm surgery, endovascular stenting of the thoracic aorta can be complicated by aortoesophageal fistula. Management should be surgical, since the outcome under conservative management seems invariably fatal. However, it looks as if the poor condition of these patients may not permit open surgical treatment.

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