Massive hemorrhage from an aortoesophageal fistula caused by esophageal stent implantation: A case report and literature review
| Autor: | Zhaojun Xu, Yefei Zhan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Aortic arch
Male medicine.medical_specialty Computed Tomography Angiography Aortic Diseases Hemodynamics gastrointestinal bleeding esophageal stent Prosthesis Implantation 03 medical and health sciences Esophageal Fistula 0302 clinical medicine Fatal Outcome Esophageal stent aortoesophageal fistula medicine.artery medicine Humans 030212 general & internal medicine Clinical Case Report Esophagus endoscopy Computed tomography angiography Aged Vascular Fistula Aorta medicine.diagnostic_test business.industry computed tomography General Medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Shock (circulatory) Angiography Stents Radiology medicine.symptom business Gastrointestinal Hemorrhage Tomography X-Ray Computed Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Rationale: Aortoesophageal fistula (AEF) is the direct communication between the aorta and esophagus, which can cause fatal hemorrhage, and its incidence increased with the use of an esophageal stent (ES). Patient concerns: A 79-year-old man was admitted due to hemodynamic shock with massive hematemesis caused by AEF 1 month after the implantation of an ES. Diagnoses: Computed tomography angiography visualized an AEF with an ulcer-like projection on the aortic arch where the ES was placed. Angiography of the aorta revealed extravasation of contrast media from the aortic arch into the stented esophagus, which confirmed the diagnosis. Interventions: Thoracic endovascular aortic repair (TEVAR) was performed for massive hematemesis caused by ES-related, AEF but did not solve the underlying problem, leading to the second fatal hemorrhage. Lessons: TEVAR for the unique treatment of ES-related AEF is feasible in certain cases but may lead to collapse after a specific period. |
| Databáze: | OpenAIRE |
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