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pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature

An aorto-esophageal fistula (AEF) is a rare and life-threatening situation, associated with aneurysms, foreign bodies, infiltrating tumors, and radiotherapy. The ideal management is unclear. Open surgery of AEF has a high mortality and morbidity. Thoracic endovascular aortic repair (TEVAR) of an AEF...

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Autores principales: Owczarek, Andreas D., Viniol, Simon, König, Alexander M., Görlach, Jannis, Denzer, Ulrike W., Stathopoulos, Petros, Mahnken, Andreas H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208794/
https://www.ncbi.nlm.nih.gov/pubmed/37235084
http://dx.doi.org/10.1016/j.radcr.2023.04.037
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author Owczarek, Andreas D.
Viniol, Simon
König, Alexander M.
Görlach, Jannis
Denzer, Ulrike W.
Stathopoulos, Petros
Mahnken, Andreas H.
author_facet Owczarek, Andreas D.
Viniol, Simon
König, Alexander M.
Görlach, Jannis
Denzer, Ulrike W.
Stathopoulos, Petros
Mahnken, Andreas H.
author_sort Owczarek, Andreas D.
collection PubMed
description An aorto-esophageal fistula (AEF) is a rare and life-threatening situation, associated with aneurysms, foreign bodies, infiltrating tumors, and radiotherapy. The ideal management is unclear. Open surgery of AEF has a high mortality and morbidity. Thoracic endovascular aortic repair (TEVAR) of an AEF is an effective and safe emergency treatment for these patients. We describe a case of AEF due to esophageal cancer successfully treated the first time by total percutaneous TEVAR (pTEVAR). A 70-year-old male patient presented with massive hematemesis at the emergency department. The patient had a known history of esophageal cancer previously treated by radiochemotherapy which was completed 3 days before. Emergency upper gastrointestinal endoscopy failed to stop the bleeding. Subsequent contrast-enhanced computed tomography revealed an aorto-esophageal fistula and emergency pTEVAR was performed. The bleeding stopped directly after stent graft placement and the patient was discharged after 10 days later. He died 3 months after pTEVAR from cancer progression. pTEVAR is an effective and safe treatment option for AEF. It can be applied as a first-line treatment and offers the potential to improve survival in the emergency setting.
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spelling pubmed-102087942023-05-25 pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature Owczarek, Andreas D. Viniol, Simon König, Alexander M. Görlach, Jannis Denzer, Ulrike W. Stathopoulos, Petros Mahnken, Andreas H. Radiol Case Rep Case Report An aorto-esophageal fistula (AEF) is a rare and life-threatening situation, associated with aneurysms, foreign bodies, infiltrating tumors, and radiotherapy. The ideal management is unclear. Open surgery of AEF has a high mortality and morbidity. Thoracic endovascular aortic repair (TEVAR) of an AEF is an effective and safe emergency treatment for these patients. We describe a case of AEF due to esophageal cancer successfully treated the first time by total percutaneous TEVAR (pTEVAR). A 70-year-old male patient presented with massive hematemesis at the emergency department. The patient had a known history of esophageal cancer previously treated by radiochemotherapy which was completed 3 days before. Emergency upper gastrointestinal endoscopy failed to stop the bleeding. Subsequent contrast-enhanced computed tomography revealed an aorto-esophageal fistula and emergency pTEVAR was performed. The bleeding stopped directly after stent graft placement and the patient was discharged after 10 days later. He died 3 months after pTEVAR from cancer progression. pTEVAR is an effective and safe treatment option for AEF. It can be applied as a first-line treatment and offers the potential to improve survival in the emergency setting. Elsevier 2023-05-18 /pmc/articles/PMC10208794/ /pubmed/37235084 http://dx.doi.org/10.1016/j.radcr.2023.04.037 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Owczarek, Andreas D.
Viniol, Simon
König, Alexander M.
Görlach, Jannis
Denzer, Ulrike W.
Stathopoulos, Petros
Mahnken, Andreas H.
pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title_full pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title_fullStr pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title_full_unstemmed pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title_short pTEVAR of an aorto-esophageal fistula in esophageal cancer: Case report and review of the literature
title_sort ptevar of an aorto-esophageal fistula in esophageal cancer: case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208794/
https://www.ncbi.nlm.nih.gov/pubmed/37235084
http://dx.doi.org/10.1016/j.radcr.2023.04.037
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