Massive hemorrhage following definitive esophageal chemoradiation: teaching case of a fatal aortoesophageal fistula and lessons learned

Clin Case Rep. 2017 Nov 7;5(12):2074-2079. doi: 10.1002/ccr3.1239. eCollection 2017 Dec.

Abstract

Esophageal self-expandable metal stents and radiotherapy are valuable in combination for palliation and definitive treatment of esophageal cancer. However, risk of aortoesophageal fistula is significant in patients with evidence of malignant aortic invasion. Use of thoracic endovascular repair may represent an approach to early intervention in high-risk patients.

Keywords: Aortoesophageal fistula; chemoradiation; esophageal cancer; self‐expandable metal stent; thoracic endovascular aortic repair.

Publication types

  • Case Reports