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Total endoluminal repair of aorto-oesophageal fistula

journal contribution
posted on 2023-07-26, 15:55 authored by Sarina Vara, Naga V. Jayanthi, Vijay Gadhvi, Ankur Thapar
A woman in her 50s presented to the Emergency Department, following massive haematemesis, having swallowed a single tooth denture 3 years previously. Endoscopy initially revealed profuse bleeding at 20cm from the incisors, initially treated with an oesophageal covered stent. Following ongoing haematemesis, a thoracic and abdominal CT angiogram demonstrated an aorto-oesophageal fistula, which was successfully treated with a thoracic endograft and left tube thoracostomy. The patient remains well to 1 year. This is the first case to demonstrate successful use of covered stents in both the aorta to stop exsanguination, as well as the oesophagus to prevent mediastinitis and avoid the need for thoracotomy and hypothermic circulatory arrest in a critically ill patient.

History

Refereed

  • Yes

Volume

15

Issue number

6

Page range

e246539

Publication title

BMJ Case Reports

ISSN

1757-790X

Publisher

BMJ

Language

  • other

Legacy posted date

2022-07-06

Legacy Faculty/School/Department

Faculty of Health, Education, Medicine & Social Care

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