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  • Title: Successful treatment of an aortoesophageal fistula after emergency endovascular thoracic aortic stent-graft placement.
    Author: Czerny M, Zimpfer D, Fleck T, Gottardi R, Cejna M, Schoder M, Lammer J, Wolner E, Grabenwoger M, Mueller MR.
    Journal: Ann Thorac Surg; 2005 Sep; 80(3):1117-20. PubMed ID: 16122507.
    Abstract:
    We report the case of a 57-year-old man who underwent emergency stent-graft placement in August 2003 due to a contained rupture of a distal descending aortic aneurysm. After 1 month the patient was readmitted with chest pain as well as swallowing disorders. A computed tomographic scan revealed a fistula between the distal esophagus and the excluded aneurysm sac. The patient was treated by an esophagectomy, a cervical esophagostomy, as well as a feeding gastrostomy. The infectious parietal thrombus was partially debrided and the aneurysm sac was filled with vancomycin. After 3 months continuity was reinstalled with a pedicled isoperistaltic transverse colonic conduit. The patient recovered uneventfully. At a 3 month follow-up, he showed no signs of infection. However, he is still being treated with antibiotic therapy of ciprofloxacin for a minimum of 1 year.
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