1. Successful management following combined thoracic endovascular aortic repair and minimally invasive esophagectomy for primary aortoesophageal fistula: A case report.
- Author
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Yokoe T, Toiyama Y, Ichikawa T, Uratani R, Imaoka H, Yasuda H, Morimoto Y, Fujikawa H, Okugawa Y, Okita Y, Yoshiyama S, and Ohi M
- Subjects
- Male, Humans, Aged, Esophagectomy, Endovascular Aneurysm Repair, Blood Vessel Prosthesis Implantation adverse effects, Aortic Diseases diagnostic imaging, Aortic Diseases etiology, Aortic Diseases surgery, Esophageal Fistula diagnostic imaging, Esophageal Fistula etiology, Esophageal Fistula surgery
- Abstract
Aortoesophageal fistula (AEF) is a rare but life-threatening pathology. We report a case of a primary AEF that was successfully managed with temporary thoracic endovascular aortic repair (TEVAR) and esophagectomy with video-assisted thoracoscopic surgery. A 73-year-old man was transferred to the emergency department with a complaint of hematemesis. A computed tomography scan identified an AEF due to aortic aneurysm. We placed a stent using TEVAR for the purpose of hemodynamic stasis, and the operation was performed 23 h after admission. Right video-assisted thoracoscopic esophagectomy (VATS-E) was chosen, and a cervical esophagostomy and a feeding gastrostomy tube was constructed. Infection had been effectively controlled postoperatively. Four months after the first operation, we performed esophageal reconstruction. At the 70-month follow-up examination, the patient had no signs of mediastinitis. VATS-E immediately after hemostabilization by TEVAR is useful management for primary AEF., (© 2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
- Published
- 2024
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