Endovascular Repair of an Aortoesophageal Fistula and Fast-growing Thoracic Aortic Pseudoaneurysm Caused by Ingestion of a Fishbone

Aortoesophageal Fistula ◽

Accidental Ingestion ◽

Aortic Pseudoaneurysm ◽

Minimal Invasiveness ◽

Fast Growing ◽

Aortic Lesions

Thoracic endovascular aortic repair has been preferred over surgery for aortic lesions owing to its minimal invasiveness. Here we report the successful endovascular repair of a thoracic aortic pseudoaneurysm after esophageal perforation induced by accidental ingestion of a fishbone.

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula After Covered Rupture of Aortic Homograft – A Durable Option?

Aorta ◽

10.12945/j.aorta.2016.16.044 ◽

2017 ◽

Vol 5 (3) ◽

pp. 96-100 ◽

Cited By ~ 2

Author(s):

Michal Nozdrzykowski ◽

Jens Garbade ◽

Steffen Leinung ◽

Andrej Schmidt ◽

Friedrich W. Mohr ◽

...

Keyword(s):

Aortoesophageal Fistula ◽

Aortic Repair ◽

Aortic Homograft

Thoracic Endovascular Aortic Repair of Esophageal Cancer-Associated Aortoesophageal Fistula: A Case Report and Literature Review

Case Reports in Oncological Medicine ◽

10.1155/2018/9851397 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Akiko Sasaki ◽

Hideto Egashira ◽

Shinnosuke Tokoro ◽

Chikamasa Ichita ◽

Satoshi Takizawa ◽

...

Keyword(s):

Esophageal Cancer ◽

Stent Graft ◽

Postoperative Management ◽

Stent Insertion ◽

Aortoesophageal Fistula ◽

Bridge To Surgery ◽

Aortic Repair ◽

T4 Esophageal Cancer

Background. Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thoracic endovascular aortic repair alone is not well-known. Case Presentation. We report a 67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophageal fistula and was rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional months with management of a mycotic aneurysm and secondary aortoesophageal fistula with the exposure of the stent graft into the esophagus. Thoracic endovascular aortic repair of aortoesophageal fistula with T4-esophageal cancer extended life for nearly an average of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus is rare but life-threatening; the esophageal stent insertion was effective. Conclusions. With postoperative management advances, thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer.

Tu1544 Aortoesophageal Fistula After Thoracic Endovascular Aortic Repair

Gastroenterology ◽

10.1016/s0016-5085(13)64188-8 ◽

2013 ◽

Vol 144 (5) ◽

pp. S-1124

Author(s):

Renate Reinhardt ◽

Wolfgang Niebel ◽

Gernot M. Kaiser ◽

Alexander Dechene ◽

Andreas Paul ◽

...

Keyword(s):

Aortoesophageal Fistula ◽

Aortoesophageal fistula after thoracic endovascular aortic repair and transthoracic embolization

Journal of Vascular Surgery ◽

10.1016/j.jvs.2007.05.036 ◽

2007 ◽

Vol 46 (4) ◽

pp. 789-791 ◽

Cited By ~ 18

Author(s):

Paul J. Riesenman ◽

Mark A. Farber ◽

Matthew A. Mauro ◽

Craig H. Selzman ◽

Richard H. Feins

Keyword(s):

Aortoesophageal Fistula ◽

Thoracic Endovascular Aortic Repair Associated Aortoesophageal Fistula: A Contemporary Review and Reanalysis

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2020.08.229 ◽

2020 ◽

Vol 231 (4) ◽

pp. e91

Author(s):

Hilliard T. Brydges ◽

Ramkumar Balasubramaniyan ◽

Kanhua Yin ◽

Karl J. Karlson ◽

Nikola T Dobrilovic

Keyword(s):

Aortoesophageal Fistula ◽

Aortoesophageal Fistula Occurring during Lung Cancer Treatment: A Case Treated by Thoracic Endovascular Aortic Repair

Internal Medicine ◽

10.2169/internalmedicine.2331-18 ◽

2019 ◽

Vol 58 (20) ◽

pp. 3025-3028 ◽

Cited By ~ 1

Author(s):

Keima Ito ◽

Tetsuya Oguri ◽

Akiko Nakano ◽

Kensuke Fukumitsu ◽

Satoshi Fukuda ◽

...

Keyword(s):

Lung Cancer ◽

Cancer Treatment ◽

Aortoesophageal Fistula ◽

Lung Cancer Treatment ◽

Outcomes of single physician-modified fenestrated stent grafts for endovascular repair of thoracic aortic lesions involving the distal aortic arch

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivaa295 ◽

2020 ◽

Author(s):

Jiechang Zhu ◽

Chao Ma ◽

Xiangchen Dai ◽

Zheng Wang ◽

Hailun Fan ◽

...

Keyword(s):

Aortic Arch ◽

Acute Type ◽

Type B ◽

Stent Grafts ◽

Aortic Repair ◽

Type B Dissection ◽

Aortic Pathologies ◽

Aortic Lesions

Abstract OBJECTIVES Our goal was to evaluate the outcomes of fenestrated thoracic endovascular aortic repair of thoracic aortic lesions involving the distal aortic arch using single physician-modified stent grafts. METHODS This single-centre, retrospective study included 58 consecutive patients (mean age, 57 ± 14 years; 11 women) who underwent fenestrated thoracic endovascular aortic repair for thoracic aortic pathologies involving the distal aortic arch using single physician-modified stent grafts between November 2015 and December 2018. Indications included complicated acute type B dissection or intramural haematoma with an unfavourable proximal landing zone (n = 49), type Ia endoleak subsequent to thoracic endovascular aortic repair due to acute type B dissection (n = 1) and distal arch degenerative aneurysms <15 mm from the left subclavian artery (n = 8). RESULTS The technical success rate was 94.8%. The 30-day mortality was 1.7%, and the perioperative ischaemic stroke rate was 1.7%. The incidence of perioperative complications was 10.3%. At a mean follow-up of 26.3 months (range, 7–44), all target vessels were patent. All-cause mortality was 5.2%. Estimated 1-, 2- and 3-year survival was 98.3 ± 1.7%, 96.4 ± 2.5% and 93.2 ± 3.9%, respectively. CONCLUSION The single fenestrated stent graft technique is feasible and effective for endovascular repair of thoracic aortic pathologies involving the distal aortic arch.