Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?

Ann Thorac Surg. 2016 Oct;102(4):e325-7. doi: 10.1016/j.athoracsur.2016.03.054.

Abstract

Exsanguinating hematemesis secondary to an aortoesophageal fistula from an impacted foreign body occurred in a patient with a vascular ring. This report describes successful resuscitation and repair in a 6-year-old boy who was transferred from an outside hospital in extremis with an aortoesophageal fistula from a foreign body in the presence of a vascular ring.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / abnormalities*
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / surgery
  • Cardiopulmonary Bypass / methods
  • Child
  • Esophageal Fistula / diagnostic imaging
  • Esophageal Fistula / surgery*
  • Esophagus / diagnostic imaging
  • Esophagus / surgery*
  • Follow-Up Studies
  • Foreign Bodies / diagnostic imaging*
  • Foreign Bodies / surgery*
  • Hematemesis / diagnosis
  • Hematemesis / etiology
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Plastic Surgery Procedures / methods
  • Risk Assessment
  • Severity of Illness Index
  • Surgical Flaps
  • Thoracotomy / methods
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / surgery
  • Vascular Surgical Procedures / methods