Secondary Aortoesophageal Fistula Treated by Covered Esophageal Stent and Muscle Wrapping

• Published in: The Annals of thoracic surgery Vol. 112; no. 4; pp. e241 - e243
• Main Authors: Furui, Masato, Hirata, Hirohisa, Kakii, Bunpachi, Yoshida, Takeshi
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-10-2021
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2021.01.044

Secondary aortoesophageal fistula is rare but is associated with serious complications and high mortality. We devised a treatment strategy involving a covered esophageal stent, instead of esophageal resection, and placing the latissimus dorsi muscle around the infected aorta without removing the aorta and the stent graft. A 72-year-old man with a history of total arch replacement with a frozen elephant trunk for a thoracic dissecting aneurysm developed aortoesophageal fistula and underwent surgical treatment using our strategy. He recovered well, with no evidence of reinfection 6 months after surgery. This strategy may be a less invasive surgical option.