Complicated Management of a Traumatic Aortoesophageal Fistula in a Patient with a Right-Sided Aortic Arch

Rodriguez, Evelio; Park, Pauline; Cowan, Scott W.; Weinstein, Michael; Kaulback, Kellee; Friedberg, Joseph S.; Diehl, James T.; Mannion, John D.; Cohen, Murray

doi:10.1097/01.ta.0000111754.11031.b1

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…Since then, there have been only a few reported cases in the literature of AEF secondary to trauma, and only 1 other in a patient with a right-sided aortic arch. 2 Most AEFs reported in the literature have typically been related to ruptured thoracic aneurysms. Hollander and colleagues 3 described 500 cases of AEF, and descending thoracic aneurysms accounted for 51% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Aortoesophageal fistula associated with a Kommerell diverticulum and right-sided aortic arch

Reyes

Gill

Temes

et al. 2008

The Journal of Thoracic and Cardiovascular Surgery

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TEE guidance. TEE may also be beneficial for reducing the risk of paraplegia.Although the priority of CT assessment in acute aortic dissection is not in dispute, TEE may be a useful adjunct to overcome its limitations.Reference 1. Shiga T, Wajima Z, Apfel CC, Inoue T, Ohe Y. Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis.

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Section: Discussionmentioning

confidence: 99%

Aortoesophageal fistula associated with a Kommerell diverticulum and right-sided aortic arch

Reyes

Gill

Temes

et al. 2008

The Journal of Thoracic and Cardiovascular Surgery

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“…The successful management of an aortoesophageal fistula remains a challenge. [1][2][3][4] Moreover, therapeutic procedures are even more complicated in patients with a right-sided aortic arch. To date, 3 cases of an aortoesophageal fistula have been described in patients with a right-sided aortic arch, 2 of whom died as the result of a massive hematemesis.…”

Section: Discussionmentioning

confidence: 99%

“…To date, 3 cases of an aortoesophageal fistula have been described in patients with a right-sided aortic arch, 2 of whom died as the result of a massive hematemesis. [1][2][3] In addition to open surgery, endovascular approaches with stent-grafts to treat aortoesophageal fistulas have been described. 4,5 Although the presented cases thus far underwent open surgery, our patient underwent an endovascular procedure by introducing a stent-graft in the aortic arch after an unsuccessful suture.…”

Section: Discussionmentioning

confidence: 99%

“…Marco Lucchi, MD, a Andrea Viti, MD, a Roberta Ricciardi, MD, b Luigi Murri, MD, b and Alfredo Mussi, MD, a Pisa, Italy T hymoma is an epithelial tumor that is frequently associated with autoimmune phenomena and paraneoplastic syndromes. The most frequent are neuromuscular 1 and hematologic 2 disorders; however, neurologic, 3 dermatologic, 4 ophthalmologic, and other disorders are reported. 5 The surgical resection of the tumor and associated adjuvant therapies often result in an improvement or complete remission of the symptoms.…”

Section: Four Thymus-related Syndromes In a Case Of Invasive Thymomamentioning

confidence: 99%

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Management of a traumatic aortoesophageal fistula in a patient with a right-sided aortic arch

Vallböhmer

Hölscher

Brunkwall

et al. 2007

The Journal of Thoracic and Cardiovascular Surgery

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“…reported 47 cases of survival following AEF 8 . Since then, eight more cases have been reported 28,57–63 Table 2)…”

Section: Managementmentioning

confidence: 99%

Aortoesophageal fistula: A rare and dreaded cause of gastrointestinal haemorrhage

Kapoor

Singh

2005

Surgical Practice

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Aortoesophageal fistula (AEF) is an uncommon cause of gastrointestinal bleeding. Most cases are identified post-mortem after an exsanguinating haemorrhage. Common causes include rupture of thoracic aortic aneurysm, oesophageal foreign bodies and thoracic surgery. AEF following previous aortic or oesophageal surgery are termed as secondary AEF, whereas fistulas that are the result of a ruptured aortic aneurysm, aortic dissection, foreign bodies, oesophageal cancer etc. are termed as primary AEF. The presentation is with the classic Chiari's triad, however, not all components might be present. Endoscopy, computed tomography scan and aortography are useful for diagnosis and for identifying the site of the fistula. Emergency surgery is the treatment of choice, although isolated reports of aortic stenting are available. Aortic repair, restoration of circulation and delayed oesophageal reconstruction are essential principles in the management of aortoesophageal fistula. With early recognition and proper management, more survivors are being reported in literature.

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Complicated Management of a Traumatic Aortoesophageal Fistula in a Patient with a Right-Sided Aortic Arch

Cited by 3 publications

References 10 publications

Aortoesophageal fistula associated with a Kommerell diverticulum and right-sided aortic arch

Aortoesophageal fistula associated with a Kommerell diverticulum and right-sided aortic arch

Management of a traumatic aortoesophageal fistula in a patient with a right-sided aortic arch

Aortoesophageal fistula: A rare and dreaded cause of gastrointestinal haemorrhage

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