CASE REPORTS   

Chirurgia 2007 June;20(3):133-5

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Successful repair with omental flap attached to gastric tube for aortoesophageal fistula with mycotic pseudoaneurysm

Nakajima T. ¹, Kawazoe K. ¹, Oka T. ¹, Ikeda K. ², Ishida K. ²

¹ Department of Cardiovascular Surgery Iwate Medical University Memorial Heart Center Morioka, Japan 2 Department of Surgery Iwate Medical University, Morioka, Japan

Surgical treatment for aortoesophageal fistula is associated with high mortality and morbidity. We describe a case of a 61-year-old woman with aortoesophageal fistula complicated with mycotic pseudoaneurysm who was successfully treated. Immediate reconstruction of gastrointestinal continuity after aortic replacement was performed using an omental flap attached to a gastric tube. The postoperative course was uneventful, and the patient remains well at the 6-year follow-up. This approach is recommended for selected patients and can result in rapid postoperative recovery.