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Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach

Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case...

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Autores principales: Usai, Marco Virgilio, Gottschalk, Antje, Schönefeld, Thomas, Schaefers, Johannes Frederik, Torsello, Giovanni B., Rukosujew, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856677/
https://www.ncbi.nlm.nih.gov/pubmed/29556592
http://dx.doi.org/10.1016/j.jvscit.2017.11.010
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author Usai, Marco Virgilio
Gottschalk, Antje
Schönefeld, Thomas
Schaefers, Johannes Frederik
Torsello, Giovanni B.
Rukosujew, Andreas
author_facet Usai, Marco Virgilio
Gottschalk, Antje
Schönefeld, Thomas
Schaefers, Johannes Frederik
Torsello, Giovanni B.
Rukosujew, Andreas
author_sort Usai, Marco Virgilio
collection PubMed
description Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case of a 76-year-old woman with aortoesophageal fistula treated by a three-step treatment approach, with close collaboration between cardiothoracic and general surgery specialists. The patient required tracheostomy after the first procedure, but this was closed at 15 days. She subsequently recovered and is doing well at 3 months after surgery. Staged treatment aims to shorten operative times, to reduce the risk of anesthesia complications, and to provide the patients the time to recover after each procedure.
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spelling pubmed-58566772018-03-19 Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach Usai, Marco Virgilio Gottschalk, Antje Schönefeld, Thomas Schaefers, Johannes Frederik Torsello, Giovanni B. Rukosujew, Andreas J Vasc Surg Cases Innov Tech Aortic aneurysm and dissection Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case of a 76-year-old woman with aortoesophageal fistula treated by a three-step treatment approach, with close collaboration between cardiothoracic and general surgery specialists. The patient required tracheostomy after the first procedure, but this was closed at 15 days. She subsequently recovered and is doing well at 3 months after surgery. Staged treatment aims to shorten operative times, to reduce the risk of anesthesia complications, and to provide the patients the time to recover after each procedure. Elsevier 2018-02-24 /pmc/articles/PMC5856677/ /pubmed/29556592 http://dx.doi.org/10.1016/j.jvscit.2017.11.010 Text en © 2018 The Author(s) http://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 Aortic aneurysm and dissection
Usai, Marco Virgilio
Gottschalk, Antje
Schönefeld, Thomas
Schaefers, Johannes Frederik
Torsello, Giovanni B.
Rukosujew, Andreas
Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_full Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_fullStr Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_full_unstemmed Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_short Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_sort late-onset aortoesophageal fistula after treatment of a chronic type b aortic dissection with a three-step approach
topic Aortic aneurysm and dissection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856677/
https://www.ncbi.nlm.nih.gov/pubmed/29556592
http://dx.doi.org/10.1016/j.jvscit.2017.11.010
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