A Case of Stent Graft Infection Coupled With Aorto-Esophageal Fistula Following Thoracic Endovascular Aortic Repair in a Complex Patient.
10.4070/kcj.2012.42.5.366
- Author:
Sung Ho LEE
1
,
2
;
Pil Sang SONG
;
Wook Sung KIM
;
Kwang Bo PARK
;
Seung Hyuk CHOI
Author Information
1. Division of Cardiology, Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sh
2. choi@samsung.com
- Publication Type:Case Report
- Keywords:
Thoracic aorta;
Stents;
Complications;
Infection;
Esophageal fistula
- MeSH:
Aneurysm, False;
Aorta, Thoracic;
Back Pain;
Diabetes Mellitus;
Esophageal Fistula;
Female;
Fistula;
Humans;
Incidence;
Lymphokines;
Middle Aged;
Positron-Emission Tomography;
Positron-Emission Tomography and Computed Tomography;
Renal Dialysis;
Rupture;
Stents;
Transplants
- From:Korean Circulation Journal
2012;42(5):366-368
- CountryRepublic of Korea
- Language:English
-
Abstract:
The incidence of peri-stent graft infection (PGI) following thoracic endovascular aortic repair (TEVAR) is low, but the associated mortality rates are extremely high. The diagnosis of this complication can be difficult due to nonspecific symptoms. Here, we report a case of PGI combined with an aorto-esophageal fistula (AEF) diagnosed by computed tomography (CT) and positron emission tomography (PET) imaging after TEVAR. A 50-year-old woman with a history of diabetes mellitus and chronic hemodialysis had received a stent graft for a contained rupture of a pseudoaneurysm of the descending thoracic aorta. Three months after stent-grafting, she experienced back pain. CT and PET imaging suggested a PGI. The patient underwent surgical treatment for PGI with AEF.
