AUTHOR=Wu Zhi-Wei , Yao Yong-Dong , Li Yi-Ming 

TITLE=Case Report: Successful Repair of Primary Aortoesophageal Fistula With an Endovascular Stent Graft and an Esophageal Stent

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.868663

DOI=10.3389/fsurg.2022.868663

ISSN=2296-875X

ABSTRACT=Aortoesophageal fistula (AEF) secondary to thoracic pseudoaneurysm as a result of upper gastrointestinal bleeding is a rare condition and will be undoubtedly lethal if without prompt surgical intervention. The estimated annual incidence of primary AEFs and secondary AEFs is about 0.0015% and 0.6-2% respectively. The challenges of the therapy posed by AEF are control of the hemorrhage, arterial reconstruction in an infection field, control of sepsis and re-establishment of the alimentary tract. We present a case of a 58-year-old man who suffered from chest pain and hematemesis and finally diagnosed as pAEF caused by descending thoracic pseudoaneurysm. Our team successfully deployed an endovascular stent-graft and esophageal stent to seal ruptured thoracic aorta and esophageal defect, which provided a new surgical strategy for aortoesophageal fistula in the endovascular era.