Infected Thoracic Pseudoaneurysm Associated with Congenital Bronchoesophageal Fistula

(Department of Cardiovascular Surgery, Tsuchiya General Hospital, Hiroshima, Japan)

Hideki Tsubota Takaaki Mochizuki Kazunori Yamada
Masaki Funamoto Toshihiko Ban
A 74-year-old man with chronic renal failure complained of back pain. Computed tomography revealed an infected thoracic pseudoaneurysm at the descending thoracic aorta. An endovascular stent graft was repaired with exclusion of a false aneurysm. After surgery, he complained of post-prandial cough, minor hemoptysis and deglutition with difficulty. Esophagoscopy and bronchoscopy showed a fistula between the left main bronchus and the esophageal diverticulum. Fistulectomy was planned after his general condition became stabilized, but the patient died of rebleeding on day 64 after stent grafting. The histological examination revealed a congenital bronchoesophageal fistula.
@Jpn. J. Cardiovasc. Surg. 37: 44-47 (2008)