Successful Treatment of an Aortoesophageal Fistula after Open Stent Grafting of a Right Aortic Arch and a Descending Aortic Aneurysm Rupture

(Department of Thoracic and Cardiovascular Surgery, Osaka Mishima Emergency and Critical Care Medical Center, Takatsuki, Japan)

Masayoshi Nishimoto Takao Tsuchida Hiroshi Akimoto
Fuyo Tsukiyama Kan Hamori Hitoshi Fukumoto
A 52-year-old man suffered from rupture of a right aortic arch and a descending aortic aneurysm. The patient was treated with an open stent grafting technique, and complete revascularization was achieved. Twelve days after the operation, a computed tomographic scan revealed a fistula between the distal esophagus and the excluded aneurysm sac. Twenty-six days later, the patient was treated by an esophagectomy, a cervical esophagogastrostomy, as well as a feeding jejunostomy. The infectious parietal thrombus was partially debrided, and the aneurysm sac was filled with omentum. The patient recovered uneventfully. The patient has been followed for 18 months with no signs of infection.
@Jpn. J. Cardiovasc. Surg. 36: 228-232 (2007)