Aorto-esophageal Fistula That Developed after Endovascular Stent-grafting of a Mycotic Aneurysm: A case report.
- Author:
Jinhae NAM
1
;
Kay Hyun PARK
;
Jae Suk YOO
;
Jae Hang LEE
;
Cheong LIM
;
Sanghoon JHEON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Korea. drkhpark@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Aneurysm;
Endovascular stent;
Aneurysm, Infected;
Esophageal fistula;
Thoracic endovascular aortic repair
- MeSH:
Aged;
Aneurysm;
Aneurysm, Infected;
Anti-Bacterial Agents;
Aorta;
Aorta, Thoracic;
Chills;
Esophageal Fistula;
Esophagectomy;
Esophagoscopy;
Female;
Fever;
Fistula;
Follow-Up Studies;
Hemoptysis;
Humans;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(6):781-784
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 74-year-old woman presented at our hospital with hemoptysis. Three months ago, she had endovascular stent-grafting done by a general surgeon for a saccular thoracic aneurysm that was found accidentally following an episode of fever and chills. Despite a lasting fever after the procedure, she was discharged without further treatment and follow-up. She was subsequently admitted to the hospital for evaluation and several exams were performed. Chest CT scans and an esophagoscopy identified an aorto-esophageal fistula at the level of the aorta that was covered by a previous stent-graft. After extensive administration of antibiotics, surgery was done - esophagectomy, cervical esophago-gastrostomy and replacement of the thoracic aorta. She was later discharged uneventfully.
