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Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition

Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leuko...

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Autores principales: Dunphy, Kaitlyn M., Ulloa, Jesus G., Benharash, Peyman, Lee, Jay, Baril, Donald T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330157/
https://www.ncbi.nlm.nih.gov/pubmed/32637758
http://dx.doi.org/10.1016/j.jvscit.2019.11.008
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author Dunphy, Kaitlyn M.
Ulloa, Jesus G.
Benharash, Peyman
Lee, Jay
Baril, Donald T.
author_facet Dunphy, Kaitlyn M.
Ulloa, Jesus G.
Benharash, Peyman
Lee, Jay
Baril, Donald T.
author_sort Dunphy, Kaitlyn M.
collection PubMed
description Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leukocytosis, and hematemesis. A computed tomography scan demonstrated migration of the esophageal stent with aortic erosion concerning for AEF. She underwent emergent endovascular exclusion of an AEF to the descending thoracic aorta with subsequent esophageal resection and diversion and aortic endograft explant, resection, and homograft repair on postoperative day 6 allowing for staged removal of prosthetic material and maintenance of inline flow.
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spelling pubmed-73301572020-07-06 Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition Dunphy, Kaitlyn M. Ulloa, Jesus G. Benharash, Peyman Lee, Jay Baril, Donald T. J Vasc Surg Cases Innov Tech Case report Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leukocytosis, and hematemesis. A computed tomography scan demonstrated migration of the esophageal stent with aortic erosion concerning for AEF. She underwent emergent endovascular exclusion of an AEF to the descending thoracic aorta with subsequent esophageal resection and diversion and aortic endograft explant, resection, and homograft repair on postoperative day 6 allowing for staged removal of prosthetic material and maintenance of inline flow. Elsevier 2020-06-30 /pmc/articles/PMC7330157/ /pubmed/32637758 http://dx.doi.org/10.1016/j.jvscit.2019.11.008 Text en © 2019 Published by Elsevier Inc. on behalf of Society for Vascular Surgery. 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 Case report
Dunphy, Kaitlyn M.
Ulloa, Jesus G.
Benharash, Peyman
Lee, Jay
Baril, Donald T.
Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title_full Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title_fullStr Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title_full_unstemmed Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title_short Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
title_sort aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330157/
https://www.ncbi.nlm.nih.gov/pubmed/32637758
http://dx.doi.org/10.1016/j.jvscit.2019.11.008
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