Aortoesophageal fistula after thoracic stent grafting

Abstract

Aortoesophageal fistula after thoracic stent grafting is rare and usually fatal. A 66-year-old woman developed an aortoesophageal fistula 1 month after endovascular stent grafting of the thoracic aorta for a complicated type B dissection. She had a fatal episode of massive bleeding before she could be treated. The limited treatment options are discussed.

Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair

“…A mycotic aortic aneurysms [5]. An endoleak into the residual aneurysm with subse quent esophageal pressure [6]. In our case we retained as mechanism of fistula formation, the direct erosion of the esophagus by a large aneurism.…”

Secondary aortoesophageal fistula after thoracic endovascular aortic repair for a huge aneurysm: case report and review of the literature

“…Approximately 24 cases of secondary AEF have been previously reported in the literature (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), with most (54.2%) occurring within four months after TEVAR with various types of endograft, and only six patients (25%) surviving, with a mean followup period of 11.6 months (Table).…”