Successful thoracic endovascular aortic repair of an aortoesophageal fistula

Vascular. 2013 Apr;21(2):97-101. doi: 10.1177/1708538113478716. Epub 2013 Mar 18.

Abstract

We report three cases of aortoesophageal fistula (AEF), in which the patients remained free from catastrophic bleeding after endovascular stent-grafting. The three patients, who were not candidates for surgical repair because of their poor general condition and prognosis, underwent endovascular stent-grafting following the administration of antibiotics and were successfully managed; hemostasis was maintained for several months until their death. Although we did not find any conclusive evidence to support this strategy, our experiences suggest that endovascular stent-grafting of AEF is useful for maintaining hemodynamic stability.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / physiopathology
  • Aorta, Thoracic / surgery*
  • Aortic Diseases / diagnosis
  • Aortic Diseases / etiology
  • Aortic Diseases / physiopathology
  • Aortic Diseases / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Esophageal Fistula / diagnosis
  • Esophageal Fistula / etiology
  • Esophageal Fistula / physiopathology
  • Esophageal Fistula / surgery*
  • Fatal Outcome
  • Gastroscopy
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology
  • Vascular Fistula / physiopathology
  • Vascular Fistula / surgery*

Substances

  • Anti-Bacterial Agents