Korean J Thorac Cardiovasc Surg.  2019 Jun;52(3):182-185. 10.5090/kjtcs.2019.52.3.182.

Staged Surgical Treatment of Primary Aortoesophageal Fistula

• Hwang SH
• Cho JW
• Bae CH
• Jang JS

• KMID: 2455165
• DOI: http://doi.org/10.5090/kjtcs.2019.52.3.182

Abstract

Aortoesophageal fistula (AEF) is a rare and potentially fatal disease that causes massive gastrointestinal bleeding. Therefore, early diagnosis and treatment are essential to prevent mortality. Controlling the massive bleeding is the most important aspect of treating AEF. The traditional surgical treatment was emergent thoracotomy, but intraoperative or perioperative mortality was high. We report a case of a patient presenting with hematemesis who was successfully treated by a staged treatment, in which bridging thoracic endovascular aortic repair was followed by delayed surgical repair of the esophagus and aorta.

Keyword

Fistula; Aorta; Esophagus; Endovascular stent

MeSH Terms

Aorta
Early Diagnosis
Esophagus
Fistula*
Hematemesis
Hemorrhage
Humans
Mortality
Thoracotomy