Endovascular Salvage for Contained Rupture of Infected Thoracic Aortic Aneurysm with Esophageal Fistula

Aortoesophageal fistula is a rare but lethal condition. The initial presentations of the disease are mostly nonspecific, such as midthoracic pain, dysphagia, or episodes of gastrointestinal bleeding. Therefore, diagnosis is often delayed. Furthermore, despite timely diagnosis and management, the outcome is generally reported to be disappointing. Surgical intervention is the only chance for patient survival, but the optimal operative approach remains controversial. We present a case of esophageal perforation resulting from the contained rupture of an infected thoracic aortic aneurysm that was successfully managed by thoracic endovascular aneurysm repair and subsequent esophagectomy and reconstruction. The patient was 4 years after surgery.