Korean J Thorac Cardiovasc Surg.  2010 Dec;43(6):781-784.

Aorto-esophageal Fistula That Developed after Endovascular Stent-grafting of a Mycotic Aneurysm: A case report

• Nam J
• Park KH
• Yoo JS
• Lee JH
• Lim C
• Jheon S

Abstract

A 74-year-old woman presented at our hospital with hemoptysis. Three months ago, she had endovascular stent-grafting done by a general surgeon for a saccular thoracic aneurysm that was found accidentally following an episode of fever and chills. Despite a lasting fever after the procedure, she was discharged without further treatment and follow-up. She was subsequently admitted to the hospital for evaluation and several exams were performed. Chest CT scans and an esophagoscopy identified an aorto-esophageal fistula at the level of the aorta that was covered by a previous stent-graft. After extensive administration of antibiotics, surgery was done - esophagectomy, cervical esophago-gastrostomy and replacement of the thoracic aorta. She was later discharged uneventfully.

Keyword

Aneurysm; Endovascular stent; Aneurysm, Infected; Esophageal fistula; Thoracic endovascular aortic repair

MeSH Terms

Aged
Aneurysm
Aneurysm, Infected
Anti-Bacterial Agents
Aorta
Aorta, Thoracic
Chills
Esophageal Fistula
Esophagectomy
Esophagoscopy
Female
Fever
Fistula
Follow-Up Studies
Hemoptysis
Humans
Thorax
Anti-Bacterial Agents