Document Detail

Aortoesophageal fistula with a history of graft treatment for thoracic aortic aneurysm.
MedLine Citation:
PMID:  18290256     Owner:  NLM     Status:  MEDLINE    
Aortoesophageal fistula (AEF) is a rare but fatal cause of gastrointestinal hemorrhage, being most commonly associated with thoracic aortic aneurysm. We present a rare case of secondary AEF post graft treatment for mycotic aneurysm of thoracic aorta 4 years previously. Massive upper gastrointestinal hemorrhage resulted in difficult diagnosis by gastrointestinal endoscopy. Computed tomography angiography (CTA) showed contrast extravasation from the descending aorta into the mid-third esophagus. CTA is a useful diagnostic tool in patients suspected of having AEF. Rapid identification of AEF is important for definitive treatment and increases the likelihood of survival.
Chen-Sheng Lin; Chun-Fang Tung; Hong-Zen Yeh; Chi-Sen Chang; Cheng-Wen Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  71     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  100-2     Citation Subset:  IM    
Division of Gastroenterology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
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MeSH Terms
Aneurysm, Infected / complications*,  surgery
Aortic Aneurysm, Thoracic / complications*,  surgery
Aortic Diseases / diagnosis*
Esophageal Fistula / diagnosis*
Gastrointestinal Hemorrhage / etiology
Vascular Fistula / diagnosis*

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