Is endovascular stent-graft treatment of primary aortoesophageal fistula worthwhile?

Mahmoud B. Malas, Surajit Saha, Umair Qazi, Mark Duncan, Bruce A. Perler, Julie A. Freischlag, Frank J. Veith

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Aortoesophageal fistula (AEF) as a result of prolonged nasogastric intubation is rare and certainly fatal, without prompt surgical intervention. We report the case of a 41-year-old man with morbid obesity who was admitted after suffering 55% of total body surface area burns. After several skin graft operations over the course of 12 weeks, he was rushed into surgery because of the acute onset of severe upper gastrointestinal bleeding. Exploratory laparotomy and esophagogastroduodenoscopy (EGD) suggested an AEF, which was then quickly confirmed by a diagnostic angiogram. An endovascular aortic stent graft repair was performed that successfully stopped the bleeding. We include a review of the literature pertaining to cases of AEF treated by endovascular surgery, which appears to be a promising alternative to open surgery in the unfit patient.

Original languageEnglish (US)
Pages (from-to)83-89
Number of pages7
JournalVascular and Endovascular Surgery
Volume45
Issue number1
DOIs
StatePublished - Jan 2011
Externally publishedYes

Keywords

  • case report
  • endovascular surgery
  • primary aortoesophageal fistula

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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  • Cite this

    Malas, M. B., Saha, S., Qazi, U., Duncan, M., Perler, B. A., Freischlag, J. A., & Veith, F. J. (2011). Is endovascular stent-graft treatment of primary aortoesophageal fistula worthwhile? Vascular and Endovascular Surgery, 45(1), 83-89. https://doi.org/10.1177/1538574410380793