Document Detail

Aortoesophageal fistula following endovascular exclusion of a thoracic aneurysm.
MedLine Citation:
PMID:  17622215     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to report a case of aortoesophageal fistula following endovascular exclusion of a thoracic aneurysm, treated conservatively with fatal outcome. Endovascular exclusion of a thoracic aneurysm was performed in a 64-year-old female patient. Three months later the diagnosis of an aortoesophageal fistula was made and minimal surgery (cervicotomy and jejunostomy) was performed, combined with antibiotherapy and catheter flushing of the infected excluded aneurysm thrombus. The patient died in septic shock 9 weeks later. As reported, following conventional thoracic aortic aneurysm surgery, endovascular stenting of the thoracic aorta can be complicated by aortoesophageal fistula. Management should be surgical, since the outcome under conservative management seems invariably fatal. However, it looks as if the poor condition of these patients may not permit open surgical treatment.
K Martens; J De Mey; H Everaert; G Delvaux; P Van Den Brande
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  26     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-07-11     Completed Date:  2007-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  292-6     Citation Subset:  IM    
Department of Vascular Surgery, Academic Hospital, Free University of Brussels, Brussels, Belgium.
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MeSH Terms
Angioscopy / adverse effects*,  methods
Aorta, Thoracic*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Esophageal Fistula / etiology*,  radiography,  surgery
Fatal Outcome
Middle Aged
Tomography, X-Ray Computed
Vascular Fistula / etiology*,  radiography,  surgery

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