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A case report of aortoesophageal fistula due to thoracoabdominal aortic aneurysm

  • Shogo Nakayama
  • Kazuaki Minami
  • Gen-ichi Sakaguchi
  • Hiroshi Tsuneyoshi
Case Report

Abstract

Aortoesophageal fistulas due to thoracic aneurysms are usually fatal, with few reported survivors.

A 57-year-old man with aortoesophageal fistula due to thoracoabdominal aortic aneurysm underwent the graft replacement of thoracoabdominal aorta. In the postoperative course, prosthetic graft infection had occurred in the result of residual esophageal fistula. On the 32nd postoperative day (POD), a subtotal esophagectomy was performed and the esophagus was reconstructed by gastrointestinal interposition tehcnique via a retrosternal route. Following the second operative procedure, inflammatory reactions had been improved with systemic administration of antibiotics and continuous irrigation of the infected cavity. On 77th POD, he was discharged.

Keywords

Aortic Aneurysm Thoracic Aortic Aneurysm Continuous Irrigation Thoracic Aneurysm Subtotal Esophagectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© The Japanese Society of Thoracic and Cadiovascular Surgery 1998

Authors and Affiliations

  • Shogo Nakayama
    • 1
  • Kazuaki Minami
    • 1
  • Gen-ichi Sakaguchi
    • 1
  • Hiroshi Tsuneyoshi
    • 1
  1. 1.Department of Cardiovascular SurgeryOsaka Red Cross HospitalOsakaJapan

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