European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 3 , Pages 297-299, September 2008

Aortic and Esophageal Endografting for Secondary Aortoenteric Fistula

  • E. Civilini
  • ,
  • L. Bertoglio
  • ,
  • G. Melissano

      Affiliations

    • Corresponding Author InformationCorresponding author. G. Melissano, MD, Department of Vascular Surgery, IRCCS H. San Raffaele, Via Olgettina, 60, 20132 Milan, Italy. Tel.: +3902 2643 7146; fax: +3902 2643 7148.
  • ,
  • R. Chiesa

Department of Vascular Surgery, “Vita–Salute” University, Scientific Institute H. San Raffaele, Milan, Italy

Received 6 March 2008; accepted 11 May 2008. published online 01 July 2008.

Abstract 

The aorto-esophageal fistula is a well-recognized and potentially fatal complication of thoracic aortic surgery. Several strategies regarding its prevention and subsequent management have been described. We report the management of a large midthoracic fistula complicating redo thoraco-abdominal aortic surgery by the placement of covered stents in the aorta and esophagus to successfully exclude the lesion.

While long term durability is uncertain, endografts and long-term antibiotics provide a therapeutic option for palliation in patients unfit for immediate surgery.

Keywords: Aneurysm, Infected, Esophageal fistula, Endograft

 

PII: S1078-5884(08)00277-3

doi:10.1016/j.ejvs.2008.05.004

European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 3 , Pages 297-299, September 2008