| Primary aorto-esophageal fistula due to Takayasu's aortitis. | |
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MedLine Citation:
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PMID: 12684170 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Aneurysmal dilatation in Takayasu's arteritis is a recognized complication; however, fistula formation, especially to the esophagus, is very rare. METHODS: A 22-year-old male presented with severe hematemesis. Investigation by means of esophagogastroscopy and CT scan revealed a saccular aneurysm in the proximal descending aorta with communication to the esophagus. The patient was taken to theater, the aneurysm excised and replaced by a graft. RESULTS: Gross examination of the aneurysm showed multiple points of outpouching from the aneurysm. Histopathological examination of the showed marked intimal fibromyxoid thickening, loss of outer medial muscle and elastic fibers and marked fibrosis of the adventitial layer. The histological features were in keeping with Takayasu's arteritis. No evidence of tuberculosis was noted. CONCLUSIONS: This case illustrates an unusual complication of Takayasu's arteritis, in the form of a fistula between the aorta and the esophagus, which resulted in massive hematemesis and the ultimate demise of the patient. |
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Authors:
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A Reddi; R Chetty |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology Volume: 12 ISSN: 1054-8807 ISO Abbreviation: Cardiovasc. Pathol. Publication Date: 2003 Mar-Apr |
Date Detail:
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Created Date: 2003-04-09 Completed Date: 2003-11-05 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9212060 Medline TA: Cardiovasc Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 112-4 Citation Subset: IM |
Copyright Information:
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Copyright 2003 Elsevier Inc. |
Affiliation:
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Department of Cardiothoracic Surgery, Nelson R Mandela School of Medicine, University of Natal and Wentworth Hospital, Durban, South Africa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aorta, Thoracic / pathology*, surgery Aortic Diseases / complications, pathology*, surgery Endoscopy, Gastrointestinal Esophageal Fistula / etiology, pathology*, surgery Fatal Outcome Hematemesis / etiology, pathology Humans Male Radiography, Thoracic Takayasu Arteritis / complications, pathology*, surgery Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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