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J Endovasc Ther. 2005 Feb;12(1):129-33.

Emergency endovascular repair of an aortoesophageal fistula caused by a foreign body.

Author information

1
Department of Vascular Surgery, VU University Medical Center, 1007 MB Amsterdam, The Netherlands.

Abstract

PURPOSE:

To report stent-graft treatment of an aortoesophageal fistula caused by a foreign body.

CASE REPORT:

A 32-year-old man was admitted with massive upper gastrointestinal bleeding 10 days after swallowing a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus. The bleeding was initially controlled by inflating a Sengstaken-Blakemore tube. A 28-mm x 16-cm Talent stent-graft was delivered transfemorally to repair the aortic defect; the esophageal injury was repaired primarily using a pedicled intercostal muscle flap via a right thoracotomy. Chest radiography at 12 months showed no migration of the stent-graft. Blood parameters of infection were normal; the patient remains well 18 months after stent-graft implantation.

CONCLUSIONS:

This case illustrates stent-graft treatment of a life-threatening hemorrhage from an aortoesophageal fistula.

PMID:
15683264
DOI:
10.1583/04-1401R.1
[Indexed for MEDLINE]

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