Rare complication of esophageal necrosis and perforation after fenestrated endovascular aneurysm repair

Autor: Neeral R. Patel, MBBS, BSc, FRCR, Abdul Sidiqi, BSc, Thomas F. Lindsay, MD, FRCSC, Kong Teng Tan, MD, FRCS, FRCR, FRCPC, George D. Oreopoulos, MD, FRCSC
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 2, Pp 181-184 (2020)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2020.02.004
Popis: Fenestrated endovascular aneurysm repair (FEVAR) is a minimally invasive technique used to treat complex abdominal aortic aneurysms. We present the case of a 69-year-old man with a juxtarenal abdominal aortic aneurysm treated with FEVAR. The patient experienced postoperative dysphagia and sepsis. Investigations revealed a perforated esophagus due to esophageal ischemia and necrosis, leading to complete esophagectomy and subsequent esophageal reconstruction. This case highlights esophageal necrosis and perforation as a potential complication of FEVAR and serves as a reminder to have a low threshold for investigating and emergently managing this condition, which otherwise has a high mortality rate.
Databáze: Directory of Open Access Journals