Successful treatment of an aortoesophageal fistula after emergency endovascular thoracic aortic stent-graft placement.
Ann Thorac Surg
; 80(3): 1117-20, 2005 Sep.
Article
em En
| MEDLINE
| ID: mdl-16122507
ABSTRACT
We report the case of a 57-year-old man who underwent emergency stent-graft placement in August 2003 due to a contained rupture of a distal descending aortic aneurysm. After 1 month the patient was readmitted with chest pain as well as swallowing disorders. A computed tomographic scan revealed a fistula between the distal esophagus and the excluded aneurysm sac. The patient was treated by an esophagectomy, a cervical esophagostomy, as well as a feeding gastrostomy. The infectious parietal thrombus was partially debrided and the aneurysm sac was filled with vancomycin. After 3 months continuity was reinstalled with a pedicled isoperistaltic transverse colonic conduit. The patient recovered uneventfully. At a 3 month follow-up, he showed no signs of infection. However, he is still being treated with antibiotic therapy of ciprofloxacin for a minimum of 1 year.
Buscar no Google
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Doenças da Aorta
/
Fístula Vascular
/
Fístula Esofágica
/
Implante de Prótese Vascular
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Áustria