Total endoluminal repair of aorto-oesophageal fistula

Vara, Sarina, Jayanthi, Naga V., Gadhvi, Vijay and Thapar, Ankur (2022) Total endoluminal repair of aorto-oesophageal fistula. BMJ Case Reports, 15 (6). e246539. ISSN 1757-790X

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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.

Item Type: Journal Article
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 06 Jul 2022 09:59
Last Modified: 06 Jul 2022 09:59

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