TITLE

Secondary infection of a pre-existing thoracic aortic aneurysm by iatrogenic oesophageal perforation with aorta-oesophageal fistula formation

AUTHOR(S)
Chan, Yiu Che; Ting, Albert C.; Law, Simon; Cheng, Stephen W.
PUB. DATE
February 2009
SOURCE
European Journal of Cardio-Thoracic Surgery;Feb2009, Vol. 35 Issue 2, p365
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: We report a case of iatrogenic perforation of the oesophagus, with subsequent infection of a pre-existing thoracic aortic aneurysm and development of an aorto-oesophageal fistula resulting in life-threatening haemorrhage. This was successfully treated with endovascular aortic stent-graft using a Cook Zenith Tx2® device. Follow-up CT scan 3 months later showed that the aneurysm sac is getting smaller, and patient had no further septic or haemorrhagic complications. However, we emphasise that even if initial endovascular management of aorto-oesophageal fistula is successful, these patients often risk recurrent sepsis and therefore long-term clinical and radiological surveillance is mandatory.
ACCESSION #
36192355

 

Related Articles

  • Midterm results of endoluminal stent grafting of the thoracic aorta. Destrieux-Garnier, Laurence; Haulon, Stéphan; Willoteaux, Serge; Decoene, Cristophe; Mounier-Vehier, Claire; Halna, Pascal; Gaudric, Julien; Modine, Thomas; Beregi, Jean-Paul; Koussa, Mohamad; Haulon, Stéphan // Vascular;May/Jun2004, Vol. 12 Issue 3, p179 

    The purpose of this study was to evaluate the overall outcome of repair of thoracic aortic lesions with endoluminal grafts. Patients were studied prospectively following the implantation of a thoracic endovascular device. Preoperative imaging was performed by helical computed tomography (CT),...

  • Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy. Okada, Kenji; Tanaka, Akiko; Munakata, Hiroshi; Matsumori, Masamichi; Morimoto, Yoshihisa; Tanaka, Yoshiaki; Maehara, Tadaaki; Okita, Yutaka // European Journal of Cardio-Thoracic Surgery;Feb2009, Vol. 35 Issue 2, p270 

    Abstract: Objective: To present our experience of total aortic arch replacement through a left posterolateral thoracotomy. Methods: Sixteen patients (13 males; mean age 62.1±11.3 years) with extended thoracic aortic aneurysms, including those in the thoracoabdominal aorta, underwent...

  • Is total debranching a safe procedure for extensive aortic-arch disease? A single experience of 27 cases. Ferrero, Emanuele; Ferri, Michelangelo; Viazzo, Andrea; Robaldo, Alessandro; Zingarelli, Edoardo; Sansone, Fabrizio; Casabona, Riccardo; Nessi, Franco // European Journal of Cardio-Thoracic Surgery;Jan2012, Vol. 41 Issue 1, p177 

    OBJECTIVE Thoracic, arch, and proximal descending thoracic aorta diseases are still considered an enormous challenge. The hybrid approach developed in recent years (supra-aortic trunks debranching and thoracic endovascular repair aortic repair; TEVAR) may improve the morbidity and mortality of...

  • Intentional preservation of collateral circulation to the artery of Adamkiewicz using axillo-axillary bypass, concomitant with thoracic endovascular aneurysm repair. Tanaka, Ryoichi; Yoshioka, Kunihiro; Kamada, Takeshi; Abiko, Akihiko // European Journal of Cardio-Thoracic Surgery;Feb2014, Vol. 45 Issue 2, p391 

    Photographs showing the left anterior lateral view before and after the endovascular aneurysm repair from the left internal thoracic artery (ITA) of a 77-year old woman are presented.

  • Endovascular Treatment of the Thoracic Aorta. Bush, Ruth L.; Lin, Peter H.; Lumsden, Alan B. // Vascular & Endovascular Surgery;Nov/Dec2003, Vol. 37 Issue 6, p399 

    Open surgical repair has been considered the mainstay of therapy for thoracic aortic aneurysms, both elective and emergency procedures alike. Recent advances in endovascular technology have made endovascular stentgraft placement a therapeutic modality that is minimally invasive and potentially a...

  • Treatment of a Late-Appearing Proximal Type-1 Endoleak After Ancure Graft with an AneuRx Cuff. Stefanidis, Dimitri; Chiou, Andy C.; Kashyap, Vikram; Toursarkissian, Boulos // Vascular & Endovascular Surgery;Nov/Dec2003, Vol. 37 Issue 6, p437 

    The authors describe the case of a patient who developed a type-1 proximal endoleak 10 months after Ancure stent graft placement, despite the lack of stent migration or measurable neck dilatation. The patient had been under observation for a persistent type-2 endoleak and was noted to have an...

  • Endovascular repair in management of thoracic aortic aneurysms. Hakan Bingol; Hikmet Iyem; Hakki Akay; Bahri Ustunsoz; Cengiz Bolcal; Sahin Ugurer; Gokce Sirin; Ufuk Demirkilic; Harun Tatar // International Journal of Cardiovascular Imaging;Feb2007, Vol. 23 Issue 1, p53 

    AbstractObjective??Aneurysms of the thoracic aorta are still potentially life-threatening situations. The conventional operation is still associated with morbidity. Endovascular stent graft repair offers an alternative to conventional operation for management of aortic diseases. Our aim was to...

  • Stent-graft placement in atherosclerotic descending thoracic aortic aneurysms: midterm results. Czerny, Martin; Cejna, Manfred; Hutschala, Doris; Fleck, Tatjana; Holzenbein, Thomas; Schoder, Maria; Lammer, Johannes; Zimpfer, Daniel; Ehrlich, Marek; Wolner, Ernst; Grabenwoger, Martin // Journal of Endovascular Therapy (Allen Press Publishing Services;Feb2004, Vol. 11 Issue 1, p26 

    Purpose: To determine midterm durability and need for reinterventions after stent-graft placement in atherosclerotic descending thoracic aortic aneurysms.Methods: Fifty-four patients (38 men; mean age 68 years, range 33-87) underwent stent-graft repair of chronic...

  • Midterm Results of Aortic Diameter Outcomes After Thoracic Stent-Graft Implantation for Aortic Dissection: A Multicenter Study. Gaxotte, Virginia; Thony, Frédéric; Rousseau, Hérve; Lions, Christophe; Otal, Philippe; Willoteaux, Serge; Rodiere, Mathieu; Negaiwi, Ziad; Joffre, Francis; Beregi, Jean-Paul // Journal of Endovascular Therapy (Allen Press Publishing Services;Apr2006, Vol. 13 Issue 2, p127 

    Purpose: To evaluate aortic diameter outcomes after stent-graft implantation for aortic dissection in the descending thoracic aorta. Methods: Fifty patients with type A dissection after ascending aortic surgery (n 10), type B dissection (n-34), or intramural hematoma (n=6) underwent stent-graft...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics