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A case report of aortoesophageal fistula due to thoracoabdominal aortic aneurysm

Research paper by Shogo Nakayama, Kazuaki Minami, Gen-ichi Sakaguchi, Hiroshi Tsuneyoshi

Indexed on: 01 Jan '98Published on: 01 Jan '98Published in: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi



Abstract

Aortoesophageal fistulas due to thoracic aneurysms are usually fatal, with few reported survivors.A 57-year-old man with aortoesophageal fistula due to thoracoabdominal aortic aneurysm underwent the graft replacement of thoracoabdominal aorta. In the postoperative course, prosthetic graft infection had occurred in the result of residual esophageal fistula. On the 32nd postoperative day (POD), a subtotal esophagectomy was performed and the esophagus was reconstructed by gastrointestinal interposition tehcnique via a retrosternal route. Following the second operative procedure, inflammatory reactions had been improved with systemic administration of antibiotics and continuous irrigation of the infected cavity. On 77th POD, he was discharged.