Stent-Grafting of an Infected Aortoesophageal Fistula Following Ingestion of a Fish Bone

Acute management of aortobronchial and aortoesophageal fistulas using thoracic endovascular aortic repair

“…In the literature, numerous cases of endovascular management of ABF [6][7][8][20][21][22] and AEF [9][10][11][23][24][25] have been reported, some with a fatal outcome. [22][23][24] Antibiotic therapy was frequently prescribed, 6,8,10,11,20,22,24,25 additional open surgical repair was performed in several cases, 6,9,11,25 and sometimes no additional therapy was offered.…”

“…[22][23][24] Antibiotic therapy was frequently prescribed, 6,8,10,11,20,22,24,25 additional open surgical repair was performed in several cases, 6,9,11,25 and sometimes no additional therapy was offered. 21,23 Since case reports often represent exceptional single cases, it is difficult to draw valid conclusions regarding the applicability of endovascular management of ABF and AEF on the basis of these reports.…”

“…6 -8 AEF has been associated with esophageal carcinoma, ingestion of foreign bodies, and even iatrogenic esophageal perforation or Barrett's esophagus. [9][10][11][12] Both ABF and AEF often present with acute hemoptysis or hematemesis. Due to the excessive bleeding, ABF and AEF are lethal if untreated, although open thoracic aortic repair of ABF and AEF is associated with high mortality and morbidity in this critically-ill population.…”

“…Since the introduction of TEVAR, several cases of successful endovascular management of ABF and AEF have been reported. 6,7,[9][10][11]17 However, it is unclear if these promising reports were exceptional cases. Furthermore, several reported cases were performed in subacute settings instead of emergencies, and long-term outcomes are often missing.…”

Esophageal perforation due to inadvertent swallowing of a dental prosthesis

“…A rapid and aggressive approach can certainly reduce the mortality and morbidity. Although there are no wide case series in the literature about covered stent placement to the fistulization after the repair of esophageal perforation due to foreign bodies, successful treatment of esophagomediastinal, esophagobronchial and esophagovascular fistulas using endoscopic stent technique has been reported (13)(14)(15)(16).…”