A Case of an Aortoesophageal Fistula: A Rare and Fatal Complication of Esophageal Stent: 2017 Presidential Poster Award

2017 ◽  
Vol 112 ◽  
pp. S1010-S1011 ◽  
Author(s):  
Jennifer Tamai ◽  
Tejinder Kalra
Keyword(s):  
Esophageal Stent ◽  
Aortoesophageal Fistula ◽  
Fatal Complication ◽  
Poster Award

scholarly journals The worst adverse event for an endoscopist after esophageal stent placement: an aortoesophageal fistula

Endoscopy ◽  
2021 ◽  
Author(s):  
Alessandro Fugazza ◽  
Laura Lamonaca ◽  
Giuseppe Mercante ◽  
Efrem Civilini ◽  
Andrea Pradella ◽  
...  
Keyword(s):  
Adverse Event ◽  
Stent Placement ◽  
Esophageal Stent ◽  
Aortoesophageal Fistula

scholarly journals A Case of Secondary Aortoesophageal Fistula Inserted a Covered Self-Expanding Esophageal Stent to Control Gastrointestinal Bleeding

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Makoto Onodera ◽  
Yoshihiro Inoue ◽  
Yasuhisa Fujino ◽  
Satoshi Kikuchi ◽  
Shigeatsu Endo
Keyword(s):  
High Risk ◽  
Surgical Intervention ◽  
Esophageal Stent ◽  
Aortoesophageal Fistula ◽  
Endovascular Stent Graft ◽  
Computed Tomography Scans ◽  
Feasible Option ◽  
Risk Patients ◽  
Stent Graft Repair ◽  
Endovascular Stent Graft Repair

A 73-year-old man presented with melena. After a thorough workup including esophageal endoscopy, computed tomography scans, and esophagography, the diagnosis of secondary aortoesophageal fistula was made. Two years previously, he had undergone endovascular stent-graft repair for the dissection of his descending thoracic aorta. Because of the generally poor condition of the patient and the high risk of any aggressive surgical intervention, we inserted a covered self-expanding esophageal stent on postadmission day 18. Esophagography after insertion did not show any evidence of a leak of contrast medium. Despite treatment with antibiotics, he developed sepsis and expired on day 52, but rebleeding did not occur in this period. We consider insertion of a covered self-expanding esophageal stent as a feasible option in the management of secondary aortoesophageal fistula in high-risk patients.

scholarly journals Closure of an aortoesophageal fistula with an esophageal stent and hemoclip

Endoscopy ◽  
2011 ◽  
Vol 43 (S 02) ◽  
pp. E302-E303 ◽  
Author(s):  
S.-M. Tsai ◽  
Y.-Y. Chen ◽  
Y. Chin-Yuan ◽  
W.-L. Lai
Keyword(s):  
Esophageal Stent ◽  
Aortoesophageal Fistula

scholarly journals Novel Management of an Aortoesophageal Fistula Prior to Definitive Surgical Repair

2019 ◽  
Vol 12 ◽  
pp. 117954761983971 ◽  
Author(s):  
Evan Stanger ◽  
Angela M Johnson ◽  
Joti Juneja Mucci
Keyword(s):  
Surgical Repair ◽  
Open Repair ◽  
Treatment Method ◽  
Aortoesophageal Fistula ◽  
Fatal Complication ◽  
Hemodynamic Optimization ◽  
Aortic Stent Graft ◽  
Risk Patients ◽  
Esophageal Stenting

An aortoesophageal fistula (AEF) is a rare but often fatal complication associated with the placement of an aortic stent graft such as those utilized in thoracic endovascular aortic repair (TEVAR) procedures. Definitive surgical repair of AEF is the treatment of choice, as conservative management is nearly always fatal. We present the case of an AEF in a 74-year-old male managed by a unique treatment method; an esophageal stent was deployed to cover the fistula as a temporizing measure prior to definitive surgical correction, thus allowing time for resuscitation and hemodynamic optimization. The use of esophageal stents in the setting of AEF following TEVAR has been previously reported in the literature as a palliative measure for patients deemed incapable of tolerating open repair surgery. Our case demonstrates a new and innovative approach to the management of AEF following TEVAR in which the use of esophageal stenting is expanded beyond the role of palliative care and should be considered as a means to optimize at-risk patients prior to definitive corrective surgery in the hopes of improving outcomes.

Aortoesophageal Fistula, a Complication of Esophageal Stent Placement

2019 ◽  
pp. 229-232
Author(s):  
Adrian E. Rodrigues ◽  
James L. Lubawski ◽  
Wickii T. Vigneswaran
Keyword(s):  
Stent Placement ◽  
Esophageal Stent ◽  
Aortoesophageal Fistula
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