RESUMO
Aortoesophageal fistula is a rare manifestation of thoracic aortic surgery or esophageal disease. We describe a patient who underwent emergent endovascular repair of an aortoesophageal fistula due to a ruptured penetrating ulcer of the descending thoracic aorta and review the literature on this subject.
Assuntos
Aorta Torácica/cirurgia , Doenças da Aorta/cirurgia , Procedimentos Endovasculares/métodos , Fístula Esofágica/cirurgia , Doenças da Aorta/diagnóstico , Doenças da Aorta/etiologia , Ruptura Aórtica/complicações , Ruptura Aórtica/diagnóstico , Fístula Esofágica/diagnóstico , Fístula Esofágica/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Úlcera/complicações , Úlcera/diagnósticoRESUMO
Penetrating ascending aortic ulcers are rarely encountered, yet they present significant risk of hemorrhage and aortic dissection. Expedient recognition and repair is of vital importance. The current management of penetrating ulcer of the ascending aorta includes replacement of the ascending aorta with a prosthetic graft. We describe our technique of repairing a penetrating ulcer of the ascending aorta with localized ulcer resection and extracellular matrix patch aortoplasty.