Emergency endovascular repair of an aortoesophageal fistula caused by a foreign body

Joeri Assink, Bastiaan P. Vierhout, Jaap P. Snellen, Paul M. Benner, Marinus A. Paul, Miguel A. Cuesta, Willem Wisselink*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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 languageEnglish
Pages (from-to)129-133
Number of pages5
JournalJournal of Endovascular Therapy
Volume12
Issue number1
DOIs
Publication statusPublished - Feb 2005

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