Staged Surgical Treatment of Primary Aortoesophageal Fistula
10.5090/kjtcs.2019.52.3.182
- Author:
Sun Hyun HWANG
1
;
Jun Woo CHO
;
Chi Hoon BAE
;
Jae Seok JANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea. heartiscs@cu.ac.kr
- Publication Type:Case Report
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(3):182-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aortoesophageal fistula (AEF) is a rare and potentially fatal disease that causes massive gastrointestinal bleeding. Therefore, early diagnosis and treatment are essential to prevent mortality. Controlling the massive bleeding is the most important aspect of treating AEF. The traditional surgical treatment was emergent thoracotomy, but intraoperative or perioperative mortality was high. We report a case of a patient presenting with hematemesis who was successfully treated by a staged treatment, in which bridging thoracic endovascular aortic repair was followed by delayed surgical repair of the esophagus and aorta.
