Document Detail


Aortoesophageal fistula: an uncommon complication after stent-graft repair of an aortic thoracic aneurysm.
MedLine Citation:
PMID:  19581294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To report the incidence and management of aortoesophageal fistula (AEF) secondary to endovascular stent-graft repair of the descending thoracic aorta. METHODS: We analyze a case of AEF as a late complication of stent-graft repair of a thoracic aortic aneurysm in a 74-year-old male. We also include a discussion on alternatives of treatment based on a review of the literature currently available in MEDLINE. RESULTS: This patient was admitted to our hospital because of constitutional symptoms. The diagnosis was established by computed tomography and upper gastrointestinal endoscopy. The patient died 50 days after admission. CONCLUSIONS: AEF is a catastrophic complication of endovascular stent-graft placement. Treatment options are very limited, as these patients are usually not candidates for open surgery. Conservative treatment is often associated with fatal results.
Authors:
Guillermo Isasti; Juan José Gómez-Doblas; Eduardo Olalla
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-07-06
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  683-4     Citation Subset:  IM    
Affiliation:
Servicio de Cardiología, Hospital Virgen de la Victoria, Campus Teatinos s/n, 29010 Málaga, Spain. doctorisasti@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Thoracic / surgery*
Aortic Diseases / diagnosis,  etiology*,  therapy
Aortography / methods
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation
Esophageal Fistula / diagnosis,  etiology*,  therapy
Esophagoscopy
Fatal Outcome
Gastrointestinal Hemorrhage / etiology
Humans
Male
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Fistula / diagnosis,  etiology*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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