Successful surgical repair of aorto-esophageal fistula due to fish-bone ingestion

  • Lokesh Sreedharan
  • Neethu Krishna
  • Unnikrishnan Gopalakrishnan
  • Praveen Kerala VarmaEmail author
Case report


Aorto-esophageal fistula is a rare and potentially lethal disease. The main causes are ruptured aortic aneurysm, foreign body ingestion, complication of surgical or endovascular repair of thoracic aortic aneurysm, and esophageal malignancy. We report a case caused by fish-bone ingestion. He underwent replacement of proximal descending aorta using circulatory arrest and trans-hiatal esophagectomy in the same sitting. A second-stage esophago-coloplasty was performed after 6 months for establishing digestive tract continuity.


Aorto-esophageal fistula Foreign body Surgery 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patient.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Division of Cardiothoracic Surgery & Surgical Gastro-Enterology, Amrita Institute of Medical Sciences and Research CenterAmrita Viswa Vidyapeetham (Amrita University)KochiIndia

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