Abstract
Purpose: To report stent-graft treatment of an aortoesophageal fistula caused by a foreign body. Case Report A 32-year-old man was admitted with massive upper gastrointestinal bleeding 10 days after swallowing a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus. The bleeding was initially controlled by inflating a Sengstaken-Blakemore tube. A 28-mm x 16-cm Talent stent-graft was delivered transfemorally to repair the aortic defect; the esophageal injury was repaired primarily using a pedicled intercostal muscle flap via a right thoracotomy. Chest radiography at 12 months showed no migration of the stent-graft. Blood parameters of infection were normal; the patient remains well 18 months after stent-graft implantation. Conclusions: This case illustrates stent-graft treatment of a life-threatening hemorrhage from an aortoesophageal fistula.
Original language | English |
---|---|
Pages (from-to) | 129-133 |
Number of pages | 5 |
Journal | Journal of Endovascular Therapy |
Volume | 12 |
Issue number | 1 |
DOIs | |
Publication status | Published - Feb 2005 |