A Case of Aortoesophageal Fistula due to Esophageal Cancer Treated with Endovascular Stent Grafting
| Autor: | 장영운 ( Young Woon Chang ), 정명화 ( Myoung Hwa Jung ), 김정욱 ( Jung Wook Kim ), 윤경한 ( Kyung Han Yoon ), 오신주 ( Shin Ju Oh ), 박유민 ( Yoo Min Park ), 장재영 ( Jae Young Jang ) |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Fistula medicine.medical_treatment Stent Esophageal cancer medicine.disease Endoscopy Surgery Pseudoaneurysm surgical procedures operative medicine.anatomical_structure Esophageal stent Descending aorta medicine.artery medicine cardiovascular diseases Radiology Esophagus business |
| Zdroj: | Korean Journal of Medicine. 88:182 |
| ISSN: | 2289-0769 1738-9364 |
| Popis: | Hemorrhage into the esophagus due to aortoesophageal communication is very rare but life-threatening with high morbidity and mortality. Because of this, most cases of aortoesophageal fistula are confirmed by autopsy. However, we report herein a case of a 62-year-old male with an aortoesophageal fistula who was successfully treated with endovascular stent-grafting. The patient had undergone esophageal stent insertion due to esophageal cancer and experienced hematemesis and hemodynamic shock due to an aortoesophageal fistula. Emergency endoscopy was unable to identify the source of the hemorrhage due to massive bleeding. Computed tomography of the chest revealed a focal pseudoaneurysm at the descending aorta and diffuse thinning of the esophageal wall, which were treated with endovascular stent-grafting. Although aortoesophageal fistulas are usually fatal, implantation of a covered stent into the esophagus may help prevent massive bleeding, providing valuable time to treat the patient. (Korean J Med 2015;88:182-186) |
| Databáze: | OpenAIRE |
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