A Catastrophic Complication of Thoracic Endovascular Aortic Repair: Aortoesophageal Fistula.

Autor: Sauza-Sosa JC; Centro Hospital MAC Periferico Sur, Mexico City, MX., Fernández-Tapia J; Centro Hospital MAC Periferico Sur, Mexico City, MX., Arratia-Carlin K; Centro Hospital MAC Periferico Sur, Mexico City, MX., Zenteno-Langle R; Centro Hospital MAC Periferico Sur, Mexico City, MX., Mendoza-Ramírez J; Centro Hospital MAC Periferico Sur, Mexico City, MX., Damas-de Los Santos F; Instituto Nacional de Cardiología 'Ignacio Chávez,' Mexico City, MX., Cortes-Julian G; Centro Hospital MAC Periferico Sur, Mexico City, MX.
Jazyk: angličtina
Zdroj: Methodist DeBakey cardiovascular journal [Methodist Debakey Cardiovasc J] 2022 Jul 22; Vol. 18 (1), pp. 62-67. Date of Electronic Publication: 2022 Jul 22 (Print Publication: 2022).
DOI: 10.14797/mdcvj.1094
Abstrakt: A 62-year-old man was admitted to the hospital due to sepsis secondary to a hemodialysis catheter-related infection that, upon diagnostic evaluation, demonstrated to be caused by P. aeruginosa and was treated with meropenem. Eradication of the infectious episode was confirmed by blood workup, including cultures. One month after the initial episode, the patient was readmitted due to a symptomatic penetrating aortic ulcer, which was classified as a cardiovascular emergency. The patient underwent an aortic stent-graft placement. Four weeks later, he presented to the emergency department with a 2-hour onset of thoracic pain and massive hematemesis. The esophagus and aortic segment with aortic stent graft were resected en bloc after an aortoesophageal fistula was diagnosed.
Competing Interests: The authors have no competing interests to declare.
(Copyright: © 2022 The Author(s).)
Databáze: MEDLINE