Emergency Endovascular Repair of an Aortoesophageal Fistula Caused by a Foreign Body

Abstract

This case illustrates stent-graft treatment of a life-threatening hemorrhage from an aortoesophageal fistula.

Esophageal Large Fish Bone (Sea Bream Jawbone) Impaction Successfully Managed with Endoscopy and Safely Excreted Through the Intestinal Tract

“…The second most common site for perforation is at the level of the aortic arch (7,8) where there is scope for fatal or life threatening vascular and respiratory catastrophe. An esophageal perforation or penetration due to fish bones may lead to severe clinical problems such as bleeding (9,10), pseudoaneurysm (11), mediastinitis (12), mediastinal abscess (13) or other diseases (14)(15)(16)(17). Aortooesophageal fistula due to fish bone is often resulting in mortality (18,19) and it should be managed surgically (20).…”

Diagnosis and treatment of 32 cases with aortoesophageal fistula due to esophageal foreign body

“…Several types of treatment have been described including percutaneous embolization, the use of a Sengstaken-Blakemore tube, and open surgery as well as endovascular treatment. [5][6][7] Despite different strategies for treatment, there is little consensus about the optimal management of the condition. Here, we present our experience in the diagnosis and treatment of patients with AEF.…”

Surgical management of aortoesophageal fistula caused by foreign bodies

“…The Sengstaken-Blakemore tube (SBT) should be used to control the initial bleeding temporarily so as to allow emergent surgery. Endovascular angioplasty has now become a useful option, as demonstrated through use on our patient and in a previously reported case in other centers [4]. It still remains controversial as to whether endovascular stenting could be used as a definitive procedure or as a short-term measure before definitive open surgical treatment.…”