Repair of Aortoesophageal Fistula After Aortic Grafting

Wickstrom, Per H.; Streitz, John M.; Erickson, Robert V.; Hoffman, Beatrice

doi:10.1016/s0003-4975(97)00477-3

Cited by 15 publications

(3 citation statements)

References 8 publications

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“…Aortoesophageal fistula is a well-known complication of descending thoracic aortic grafting. 3 Cases after esophageal 4,5 and bronchial 6 stenting have also been described. To the best of our knowledge, no case of aortoesophageal fistula after endovascular repair of descending thoracic aortic diseases has been reported to date.…”

Section: Discussionmentioning

confidence: 99%

Is endovascular stent grafting for descending thoracic aortic disease recommendable in patients with dysphagia?

Chocron¹,

Stoica²,

Koch³

et al. 2002

The Journal of Thoracic and Cardiovascular Surgery

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ndoluminal stent graft repair is an alternative to conventional surgical intervention. Perioperative complications associated with the endoluminal technique are arterial injury, maldeployment, aortic perforation, left upper limb ischemia, and paraplegia. Secondary complications are leaking, graft migration, aortoesophageal fistula, and aortobronchial fistula. 1 There are various conditions associated with aortoesophageal fistula: foreign bodies, malignancy, primary fistula of thoracic aortic aneurysm, or secondary fistula after surgical repair of these aneurysms. 2 We report 2 cases of an uncommon condition: aortoesophageal fistula after stenting of a descending thoracic aneurysm and of a spontaneous aortic rupture with a periaortic hematoma.

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Section: Discussionmentioning

confidence: 99%

Is endovascular stent grafting for descending thoracic aortic disease recommendable in patients with dysphagia?

Chocron¹,

Stoica²,

Koch³

et al. 2002

The Journal of Thoracic and Cardiovascular Surgery

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show abstract

“…Two months later, a substernal bypass to re-establish the gastrointestinal tract was performed. Wickstrom et al 9 replaced an old St. Jude composite graft in a patient with Marfan's syndrome who had suffered an ascending aortic dissection. An esophagectomy, cervical esophagostomy, and subsequent reconstruction by cervical esophagogastrostomy were also required.…”

Section: Discussionmentioning

confidence: 99%

Repair of Secondary Aortoesophageal Fistula by Endoluminal Stent-Grafting

Bond¹,

McGuinness

Reidy

et al. 2001

J Endovasc Ther

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“…This can sometimes be mistaken for a tumour and biopsied, resulting in a fatal haemorrhage 7,25,55 . Rarely, the prosthetic graft used for aortic repair might be seen at oesophagoscopy 56 . Oesophagoscopy is helpful in diagnosing AEF that is the result of oesophageal cancer.…”

Section: Investigationsmentioning

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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Repair of Aortoesophageal Fistula After Aortic Grafting

Cited by 15 publications

References 8 publications

Is endovascular stent grafting for descending thoracic aortic disease recommendable in patients with dysphagia?

Is endovascular stent grafting for descending thoracic aortic disease recommendable in patients with dysphagia?

Repair of Secondary Aortoesophageal Fistula by Endoluminal Stent-Grafting

Aortoesophageal fistula: A rare and dreaded cause of gastrointestinal haemorrhage

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