Emergency repair of a radiation-induced aortoesophageal fistula with endograft: Report of a case

Emergency repair of a radiation-induced aortoesophageal fistula with endograft: Report of a case

This report presents the case of the emergency repair of a radiation-induced aortoesophageal fistula (AEF) with an endograft. The patient presented with multiple episodes of upper gastrointestinal bleeding. The fistula was discovered and treated in the operating room. The placement of a temporary ao...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Vol. 41; no. 2; pp. 266 - 270
Main Authors: Galler, Avi Sternstein, Mindadze, Nikolay, Fulda, Gerard, Bhaskar Rao, D.
Format: Journal Article
Language:English
Published: Japan Springer Japan 01-02-2011
Subjects:
Aortic Diseases - etiology
Aortic Diseases - surgery
Blood Vessel Prosthesis Implantation
Case Report
Emergencies
Endovascular Procedures
Esophageal Fistula - etiology
Esophageal Fistula - surgery
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Radiation Injuries - surgery
Surgery
Surgical Oncology
Vascular Fistula - etiology
Vascular Fistula - surgery
Aortoesophageal fistula
Endovascular
Endograf
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Description
Summary:This report presents the case of the emergency repair of a radiation-induced aortoesophageal fistula (AEF) with an endograft. The patient presented with multiple episodes of upper gastrointestinal bleeding. The fistula was discovered and treated in the operating room. The placement of a temporary aortic endograft was successful. The patient unfortunately exsanguinated while awaiting definitive aortic and esophageal repair. The potential occurrence of AEF should be considered in any patient presenting with massive hematemesis without a clear source of the bleeding. Although the patient succumbed to the fistula, this case illustrates the cryptic nature of an AEF and the difficult issues that are inherent in its treatment.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-009-4252-x