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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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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. |
format | Online Article Text |
id | pubmed-7330157 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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