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Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair.

Abstract

This case demonstrates successful surgical management of a 6 cm-long aortoesophageal fistula from an infected stent graft. A 69-year-old woman with a penetrating descending thoracic aortic ulcer underwent endovascular aortic repair. Two weeks later, she presented with nausea and melena, and was found to have an infected stent graft on imaging. She underwent a two-stage procedure encompassing aortic arch debranching and extra-anatomic aortic bypass in stage one, and stent graft resection, primary esophageal repair, intercostal and omental flap and jejunostomy tube placement in stage two. She was discharged one month later and is doing well 1.5 years after the operation.

Authors+Show Affiliations

Department of Cardiothoracic Surgery, Stanford University.Department of Cardiothoracic Surgery, Stanford University.Department of Cardiothoracic Surgery, Stanford University.Department of Cardiothoracic Surgery, Stanford University. Electronic address: ansonlee@stanford.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31586613

Citation

Zhu, Yuanjia, et al. "Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair." The Annals of Thoracic Surgery, 2019.
Zhu Y, MacArthur JW, Lui N, et al. Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair. Ann Thorac Surg. 2019.
Zhu, Y., MacArthur, J. W., Lui, N., & Lee, A. M. (2019). Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair. The Annals of Thoracic Surgery, doi:10.1016/j.athoracsur.2019.08.076.
Zhu Y, et al. Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair. Ann Thorac Surg. 2019 Oct 3; PubMed PMID: 31586613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical Management for Aortoesophageal Fistula After Endovascular Aortic Repair. AU - Zhu,Yuanjia, AU - MacArthur,John W, AU - Lui,Natalie, AU - Lee,Anson M, Y1 - 2019/10/03/ PY - 2019/08/06/received PY - 2019/08/15/accepted PY - 2019/10/7/entrez PY - 2019/10/7/pubmed PY - 2019/10/7/medline JF - The Annals of thoracic surgery JO - Ann. Thorac. Surg. N2 - This case demonstrates successful surgical management of a 6 cm-long aortoesophageal fistula from an infected stent graft. A 69-year-old woman with a penetrating descending thoracic aortic ulcer underwent endovascular aortic repair. Two weeks later, she presented with nausea and melena, and was found to have an infected stent graft on imaging. She underwent a two-stage procedure encompassing aortic arch debranching and extra-anatomic aortic bypass in stage one, and stent graft resection, primary esophageal repair, intercostal and omental flap and jejunostomy tube placement in stage two. She was discharged one month later and is doing well 1.5 years after the operation. SN - 1552-6259 UR - https://www.unboundmedicine.com/medline/citation/31586613/Surgical_Management_for_Aortoesophageal_Fistula_After_Endovascular_Aortic_Repair L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-4975(19)31467-5 DB - PRIME DP - Unbound Medicine ER -