Download PDF
CC BY 4.0 · Aorta (Stamford) 2014; 02(01): 37-40
DOI: 10.12945/j.aorta.2014.13-056
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Aorto-Esophageal Fistula After Thoracic Endovascular Aortic Repair: Successful Open Treatment

Julia Dumfarth
1   Department of Cardiac Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Hannes Dejaco
2   Department of Anesthesiology, University Clinic Innsbruck, Innsbruck, Austria
,
Christoph Krapf
1   Department of Cardiac Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Thomas Schachner
1   Department of Cardiac Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Heinz Wykypiel
3   Department of Visceral, Transplant and Thoracic Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Thomas Schmid
3   Department of Visceral, Transplant and Thoracic Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Johann Pratschke
3   Department of Visceral, Transplant and Thoracic Surgery, University Clinic Innsbruck, Innsbruck, Austria
,
Michael Grimm
1   Department of Cardiac Surgery, University Clinic Innsbruck, Innsbruck, Austria
› Author Affiliations
Further Information

Publication History

04 November 2013

19 December 2013

Publication Date:
24 September 2018 (online)

   Permissions and Reprints

Abstract

We present the case of a 56-year-old patient suffering from an aorto-esophageal fistula after complex treatment of acute Type A dissection including thoracic endovascular aortic repair (TEVAR) of the descending aorta. Open surgical descending replacement using a pericardial patch, as well as esophagectomy, was performed. After a long and complicated hospital stay, the patient finally recovered and was discharged in stable condition. By choosing an aggressive surgical approach the patient survived this devastating complication of TEVAR, which is associated with high mortality.

Key Words

Secondary surgical procedure - TEVAR - Aorto-esophageal fistula - Case description
 

  • References

  • 1 Girdauskas E, Falk V, Kuntze T, Borger MA, Schmidt A, Scheinert D. , et al. Secondary surgical procedures after endovascular stent grafting of the thoracic aorta: successful approaches to a challenging clinical problem. J Thorac Cardiovas Surg 2008; 136: 1289-1294 . 10.1016/j.jtcvs.2008.05.053
    CrossrefPubMedGoogle Scholar
  • 2 Dumfarth J, Michel M, Schmidli J, Sodeck G, Ehrlich M, Grimm M. , et al. Mechanisms of failure and outcome of secondary surgical interventions after thoracic endovascular aortic repair (TEVAR). Ann Thorac Surg 2011; 91: 1141-1146 . 10.1016/j.athoracsur.2010.12.033
    CrossrefPubMedGoogle Scholar
  • 3 Canaud L, Alric P, Gandet T, Ozdemir BA, Albat B, Marty-Ane C. Open surgical secondary procedures after thoracic endovascular aortic repair. Eur J Vasc Endovasc Surg 2013; 45: 667-674 . 10.1016/j.ejvs.2013.08.022
    PubMedGoogle Scholar
  • 4 Kieffer E, Chiche L, Gomes D. Aortoesophageal fistula: value of in situ aortic allograft replacement. Ann Surg 2003; 238: 283-290 . 10.1097/01.sla.0000080828.37493.e0
    PubMedGoogle Scholar
  • 5 Eggebrecht H, Mehta RH, Dechene A, Tsagakis K, Kühl H, Huptas S. , et al. Aortoesophageal fistula after thoracic aortic stent-graft placement: a rare but catastrophic complication of a novel emerging technique. J Am Coll Cardiol Cardiovasc Interv 2009; 2: 570-576 . 10.1016/j.jcin.2009.03.010
    CrossrefPubMedGoogle Scholar
  • 6 Czerny M, Eggebrecht H, Sodeck G, Weigang E, Livi U, Verzini F. , et al. New insights regarding the incidence, presentation and treatment options of aorto-oesophageal fistulation after thoracic endovascular aortic repair: the European Registry of Endovascular Aortic Repair Complications. Eur J Cardiothorac Surg. 2013 in press. 10.1093/ejcts/ezt393
    PubMedGoogle Scholar
  • 7 Muradi A, Yamaguchi M, Kitagawa A, Nomura Y, Okada T, Okita Y. , et al. Secondary aortoesophageal fistula after thoracic endovascular aortic repair for a huge aneurysm. Diagn Interv Radiol 2013; 19: 81-84 . 10.4261/1305-3825.DIR.5912-12.1
    PubMedGoogle Scholar
  • 8 Czerny M, von Allmen R, Opfermann P, Sodeck G, Dick F, Stellmes A. , et al. Self-made pericardial tube graft: a new surgical concept for treatment of graft infections after thoracic and abdominal aortic procedures. Ann Thorac Surg 2011; 92: 1657-1662 . 10.1016/j.athoracsur.2011.06.073
    CrossrefPubMedGoogle Scholar