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

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

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.

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References

  1. Nandi P, Ong GB. Foreign bodies in the esophagus: review of 2394 cases. Br J Surg. 1978;65:5–9.

    Article  CAS  PubMed  Google Scholar 

  2. Lai AT, Chow TL, Lee DT, Kwok SP. Risk factors predicting the development of complications after foreign body ingestion. Br J Surg. 2003;90:1531–35.

    Article  CAS  PubMed  Google Scholar 

  3. Chiari H. Über fremdkorperverletzung des oesophagus mit aorten perforation. Berl Klin Wochenschr. 1914;51:7–9.

    Google Scholar 

  4. Burks JA, Faries PL, Gravereaux EC, Hollier LH, Marin ML. Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience. J Vasc Surg. 2001;34:1055–9.

    Article  PubMed  Google Scholar 

  5. Kiefer E, Chiche L, Gomes D. Aortoesophageal fistula: Value of insitu aortic allograft replacement. Ann Surg. 2003;238:283–90.

    Google Scholar 

  6. Czerny M, von Allmen R, Opfermann P, et al. Self-made pericardial tube-graft: a new surgical concept for treatment of graft infections after thoracic and abdominal aortic procedures. Ann Thorac Surg. 2011;92:1657–62.

    Article  Google Scholar 

  7. Yamazato T, Nakamura T, Abe N, et al. Surgical strategy for the treatment of aortoesophageal fistula. J Thorac Cardiovasc Surg. 2018;155:32–40.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

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

    Lokesh Sreedharan, Neethu Krishna, Unnikrishnan Gopalakrishnan & Praveen Kerala Varma

Authors
  1. Lokesh Sreedharan
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  2. Neethu Krishna
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  3. Unnikrishnan Gopalakrishnan
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  4. Praveen Kerala Varma
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Correspondence to Praveen Kerala Varma.

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The authors declare that they have no conflict of interest.

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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.

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Informed consent was obtained from the patient.

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Sreedharan, L., Krishna, N., Gopalakrishnan, U. et al. Successful surgical repair of aorto-esophageal fistula due to fish-bone ingestion. Indian J Thorac Cardiovasc Surg 35, 68–70 (2019). https://doi.org/10.1007/s12055-018-0704-5

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  • DOI: https://doi.org/10.1007/s12055-018-0704-5

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