Surgical repair of an aortoesophageal fistula after salvage thoracic endovascular aortic repair: a case report.
J Med Case Rep
; 18(1): 285, 2024 Jun 21.
Article
en En
| MEDLINE
| ID: mdl-38902817
ABSTRACT
BACKGROUND:
An aortoesophageal fistula can prove to be fatal. Salvage thoracic endovascular aortic repair as a bridging therapy and radical surgery with thoracotomy should be considered while treating aortoesophageal fistula without spontaneous closure. Moreover, it is essential to select a technique that reduces the risk of reinfection. Here we report a rare case of a ruptured thoracic aortic aneurysm related to esophageal perforation by a fish bone that led to massive hematemesis and shock, and the surgical treatment of an aortoesophageal fistula that developed after salvage thoracic endovascular aortic repair. CASE PRESENTATION A 70-year-old Japanese female patient was admitted with hematemesis, thoracic pain, and shock related to esophageal perforation of a ruptured descending aortic aneurysm caused by fish bone aspiration and esophageal perforation 1 month previously. An emergency thoracic endovascular aortic repair was performed. Postoperatively, an aortoesophageal fistula that remained open and a food intake-related increase in the inflammatory response was noted. Radical blood-vessel prosthesis implantation and fistula closure were performed. The patient's postoperative course was favorable and the patient was discharged 22 days after the blood vessel prosthesis implantation.CONCLUSION:
Such a case of rupture of a descending aortic aneurysm related to perforation by a fish bone and an aortoesophageal fistula is considerably rare. Thus, we report the therapeutic strategy of this particular case and review the relevant literature.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Rotura de la Aorta
/
Fístula Esofágica
/
Aneurisma de la Aorta Torácica
/
Perforación del Esófago
/
Procedimientos Endovasculares
Límite:
Aged
/
Animals
/
Female
/
Humans
Idioma:
En
Año:
2024
Tipo del documento:
Article