Case Report: Successful Repair of Primary Aortoesophageal Fistula With an Endovascular Stent Graft and an Esophageal Stent

Frontiers in Surgery

article

Zhi-Wei Wu¹  Yong-Dong Yao²  Yi-Ming Li² 

[1] Department of Cardiology, The First Hospital of Putian;Department of Emergency, The First Affiliated Hospital of Fujian Medical University

关键词: aortoesophageal fistula;    endovascular stent;    esophageal stent;    case report;    treatment;   

DOI  :  10.3389/fsurg.2022.868663

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Aortoesophageal fistula (AEF), secondary to thoracic pseudoaneurysm as a result of upper gastrointestinal bleeding, is a rare condition and will be undoubtedly lethal without prompt surgical intervention. The estimated annual incidence of primary AEFs and secondary AEFs is about 0.0015% and 0.6%–2%, respectively. The challenges of the therapy posed by AEF are control of the hemorrhage, arterial reconstruction in an infection field, control of sepsis, and re-establishment of the alimentary tract. We present a case of a 58-year-old man who suffered from chest pain and hematemesis and was finally diagnosed with pAEF caused by descending thoracic pseudoaneurysm. Our team successfully deployed an endovascular stent graft and esophageal stent to seal ruptured thoracic aorta and esophageal defects, which provided a new surgical strategy for aortoesophageal fistula in the endovascular era.

【 授权许可】

CC BY