Lethal aorto-oesophageal fistula 16 years after aortic prosthetic reconstruction: Delayed rupture as cause of death

Autor: Francesco Locco, Roberto Demontis, Paola Roberti, Marica Felice, Beatrice Benedetti
Rok vydání: 2020
Předmět:
Zdroj: Medicine, Science and the Law. 61:146-149
ISSN: 2042-1818
0025-8024
DOI: 10.1177/0025802420936796
Popis: The development of aorto-oesophageal fistula (AOF) is a rare complication following thoracic aortic repair. Mortality is high, in most cases due to fatal haematemesis. The clinical onset is variable, occurring approximately one year after surgery. We report a case of a lethal AOF in a 58-year-old man. He underwent open vascular surgery 16 years prior to his death due to a rupture of the descending thoracic aorta. In the early 2000s, the open vascular approach was replaced by thoracic endovascular aortic repair. As a result of this approach, the number of surgical complications has reduced, with the exception of AOF.
Databáze: OpenAIRE