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Successful management of esophagoparaprosthetic fistula after aortic surgery.
- Source :
-
The Annals of thoracic surgery [Ann Thorac Surg] 2008 Apr; Vol. 85 (4), pp. 1449-51. - Publication Year :
- 2008
-
Abstract
- Aortoesophageal fistula is a relatively rare but highly fatal condition, especially in the case of secondary aortoesophageal fistulas after previous thoracic aortic surgery in which the aortic prosthetic graft itself may be involved in the infection, resulting in an esophagoparaprosthetic fistula. In this report, we describe a complicated case of esophagoparaprosthetic fistula arising after descending thoracic aortic replacement and endovascular pseudoaneurysm repair that was successfully treated by surgical resection and in situ aortic graft replacement using a homograft completely covered with an omental flap, combined with subtotal esophagectomy and staged reconstruction of the alimentary tract. The patient has been doing well for 24 months without signs of recurrent infection.
- Subjects :
- Aged
Anastomosis, Surgical
Aortic Aneurysm, Thoracic diagnosis
Blood Vessel Prosthesis Implantation methods
Cardiopulmonary Bypass methods
Device Removal
Esophageal Fistula surgery
Esophagectomy methods
Female
Follow-Up Studies
Humans
Prosthesis-Related Infections surgery
Reoperation
Risk Assessment
Surgical Flaps
Thoracotomy methods
Treatment Outcome
Aortic Aneurysm, Thoracic surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation adverse effects
Esophageal Fistula etiology
Prosthesis-Related Infections diagnosis
Plastic Surgery Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1552-6259
- Volume :
- 85
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Annals of thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 18355554
- Full Text :
- https://doi.org/10.1016/j.athoracsur.2007.10.068