Is endovascular stent grafting for descending thoracic aortic disease recommendable in patients with dysphagia?

Endoluminal stent graft repair is an alternative to conventional surgical intervention. Perioperative complications associated with the endoluminal technique are arterial injury, maldeployment, aortic perforation, left upper limb ischemia, and paraplegia. Secondary complications are leaking, graft migration, aortoesophageal fistula, and aortobronchial fistula.1 There are various conditions associated with aortoesophageal fistula: foreign bodies, malignancy, primary fistula of thoracic aortic aneurysm, or secondary fistula after surgical repair of these aneurysms.2 We report 2 cases of an uncommon condition: aortoesophageal fistula after stenting of a descending thoracic aneurysm and of a spontaneous aortic rupture with a periaortic hematoma.