Document Detail

Bedside placement of an aortic occlusion balloon to control a ruptured aorto-esophageal fistula in a small child.
MedLine Citation:
PMID:  20471216     Owner:  NLM     Status:  MEDLINE    
A child had a percutaneous endoscopic gastrostomy tube removed by transecting it at skin level. The internal portion ("the bolster") was allowed to pass in the GI tract. She subsequently had odynophagia. Magnetic resonance imaging identified a foreign body within the lower thoracic esophagus. During esophagoscopy, the bolster was removed. The following morning, she had massive hematemesis with cardiovascular collapse. As an emergent maneuver, an intra-aortic balloon was percutaneously deployed at the bedside without fluoroscopic guidance. This temporized the exsanguination. Subsequent intraoperative aortography confirmed an aortoesophageal fistula. A stent-graft was deployed with immediate hemodynamic stabilization. She later underwent esophageal resection and recovered well.
Sarah J Hill; Abdalla E Zarroug; Richard R Ricketts; Ravi Veeraswamy
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-13
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  822.e7-9     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Department of Surgery, Emory University, Atlanta, GA, USA.
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MeSH Terms
Aortic Diseases / diagnosis,  etiology,  therapy*
Aortic Rupture / diagnosis,  etiology,  therapy*
Balloon Occlusion*
Blood Vessel Prosthesis Implantation / instrumentation
Device Removal
Esophageal Fistula / diagnosis,  etiology,  therapy*
Foreign-Body Migration / etiology,  therapy*
Gastrostomy / adverse effects*,  instrumentation
Hematemesis / etiology
Magnetic Resonance Imaging
Shock / etiology
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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