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  • Title: Endovascular exclusion of aortoesophageal fistula after coarctation extraanatomical bypass.
    Author: Myers PO, Gemayel G, Mugnai D, Murith N, Kalangos A.
    Journal: Ann Thorac Surg; 2014 Jul; 98(1):314-6. PubMed ID: 24996710.
    Abstract:
    Extraanatomical bypass has been advocated as the primary technique in adolescents or adults presenting with aortic coarctation. This approach carries significant morbidity, and graft-related complications may be more important in the young patient population. A 52-year-old man who had previously undergone extraanatomical bypass of aortic coarctation was diagnosed with a distal anastomotic pseudoaneurysm and aortoesophageal fistula. This was managed by proximal bypass plugging with an occluder, endovascular exclusion with a stent-graft in the thoracic descending aorta covering the pseudoaneurysm, and coarctation balloon dilation. Aortoesophageal fistula is a late complication observed after extraanatomical bypass for coarctation. This case illustrates this rare complication.
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