PMID: 29483463Feb 28, 2018Paper

Aortoesophageal Fistula with Infected Thoracic Aortic Aneurysm Rupture;Report of a Case

Kyobu geka. The Japanese journal of thoracic surgery
Koshiro IshiyamaHajime Iizawa

Abstract

A 67-year-old man was referred to our hospital because of fever and discomfort of the throat. Gastrointestinal endoscopy revealed hematoma at the middle thoracic esophagus. Computed tomography revealed posterior mediastinal hematoma extending the descending aorta. Bacillus was detected in the blood culture. Aortoesophageal fistula with an infected thoracic aortic aneurysm rupture was diagnosed. First, thoracic endovascular aortic repair (TEVAR) was performed. Resection of the thoracic esophagus and omentopexy was conducted 15 days after TEVAR. Esophageal reconstruction using a gastric tube was performed 43 days after esophagectomy. He has been doing well since then.

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