Successful management following combined thoracic endovascular aortic repair and minimally invasive esophagectomy for primary aortoesophageal fistula: A case report

被引：1

作者：

Yokoe, Takeshi ^{[1
]}

Toiyama, Yuji ^{[1
]}

Ichikawa, Takashi ^{[1
]}

Uratani, Ryo ^{[1
]}

Imaoka, Hiroki ^{[1
]}

Yasuda, Hiromi ^{[1
]}

Morimoto, Yuki ^{[1
]}

Fujikawa, Hiroyuki ^{[1
]}

Okugawa, Yoshinaga ^{[1
]}

Okita, Yoshiki ^{[1
]}

Yoshiyama, Shigeyuki ^{[1
]}

Ohi, Masaki ^{[1
]}

机构：

[1] Mie Univ, Grad Sch Med, Dept Gastrointestinal & Pediat Surg, 2-174 Edobash, Tsu, Mie 5148507, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2024年 / 17卷 / 01期

关键词：

aortoesophageal fistula; TEVAR; VATS-E; SURGICAL STRATEGY;

D O I：

10.1111/ases.13249

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Aortoesophageal fistula (AEF) is a rare but life-threatening pathology. We report a case of a primary AEF that was successfully managed with temporary thoracic endovascular aortic repair (TEVAR) and esophagectomy with video-assisted thoracoscopic surgery. A 73-year-old man was transferred to the emergency department with a complaint of hematemesis. A computed tomography scan identified an AEF due to aortic aneurysm. We placed a stent using TEVAR for the purpose of hemodynamic stasis, and the operation was performed 23 h after admission. Right video-assisted thoracoscopic esophagectomy (VATS-E) was chosen, and a cervical esophagostomy and a feeding gastrostomy tube was constructed. Infection had been effectively controlled postoperatively. Four months after the first operation, we performed esophageal reconstruction. At the 70-month follow-up examination, the patient had no signs of mediastinitis. VATS-E immediately after hemostabilization by TEVAR is useful management for primary AEF.

引用

页数：5