2009
DOI: 10.1007/s00383-009-2532-6
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Arterial–esophageal fistula: a severe complication in children with cardiovascular abnormalities

Abstract: Fistulae between esophagus and major arteries are an extremely rare and severe condition. They have been described in patients with previous impairment or abnormalities of mediastinal vessels and intraesophageal increased pressure or as a complication of cardiovascular procedures. We report three cases of children with an aorto-esophageal fistula, a collateral pulmonary artery-esophageal fistula and an aberrant right subclavian artery-esophageal fistula that were successfully managed in coordination with pedia… Show more

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Cited by 12 publications
(10 citation statements)
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“…Previous reports of complications related to this lesion are usually associated with foreign-body ingestion and perforation, direct instrumentation with trauma, or prolonged intubation. 4,7,8 This case, however, represents a unique presentation of an arterio-oesophageal fistula without any such inciting events. The high mortality of arterio-oesophageal erosions necessitates aggressive treatment in any patient with a symptomatic aberrant right subclavian artery.…”
Section: Discussionmentioning
confidence: 84%
“…Previous reports of complications related to this lesion are usually associated with foreign-body ingestion and perforation, direct instrumentation with trauma, or prolonged intubation. 4,7,8 This case, however, represents a unique presentation of an arterio-oesophageal fistula without any such inciting events. The high mortality of arterio-oesophageal erosions necessitates aggressive treatment in any patient with a symptomatic aberrant right subclavian artery.…”
Section: Discussionmentioning
confidence: 84%
“…13,20 Six cases were in the pediatric population, with patient ages ranging from 5 months to 11 years. 22,28,30,34,37 Although diagnosis is typically made with CT imaging, endoscopic visualization may be the initial diagnostic test to exclude other causes, particularly in patients who are hemodynamically stable at the time of presentation. The most common etiology for development of ARSA-esophageal fistula appeared to be secondary to compression, friction, or pressure necrosis from recent instrumentation with an endotracheal tube, nasogastric tube, or tracheostomy tube, seen in 14 of the 33 summarized cases.…”
Section: Discussionmentioning
confidence: 99%
“…The reported foreign body included fish bone [2] , chicken bone [3] , and a paper star [4] . They are caused by direct instrumentation with esophageal trauma or prolonged intubation [5] . Among them, merely NG tube placement was enough to cause AEF [6] .…”
Section: Discussionmentioning
confidence: 99%