Thorac Cardiovasc Surg 2001; 49(2): 126-128
DOI: 10.1055/s-2001-11707
Case Report
© Georg Thieme Verlag Stuttgart · New York

Successful Management
of Secondary Aortoesophageal Fistula with Graft Infection

A. Iguchi1 , S. Miyazaki2 , H. Akimoto1 , M. Ohmi1 , K. Tabayashi1
  • 1Department of Thoracic and Cardiovascular Surgery,
  • 2Second Department of Surgery, Tohoku University School
    of Medicine, Sendai, Japan
Further Information

Publication History

Publication Date:
31 December 2001 (online)

A 60-year-old woman was transferred to our institution after massive hematemesis and the diagnosis of secondary aortoesophageal fistula was made. Five months previously, she had undergone graft replacement from the origin of the left subclavian artery to midthoracic aorta for chonic type B dissection. After an extraanatomic bypass was performed through a sternotomy, the infected thoracic aortic graft was resected through a left thoracotomy. She remained well without evidence of infection.

References

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  • 2 Hayes P D, Nasim A, London N J M. et al . In situ replacement of infected aortic grafts with rifampicin-bonded prostheses: The Leicester experience (1992 to 1998).  J Vasc Surg. 1999;  30 92-98
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  • 4 Luketich J D, Sommers K E, Griffith B P. et al . Successful management of secondary aortoesophageal fistula.  Ann Thorac Surg. 1996;  62 1852-1854
  • 5 Vogt V R, Pfammatter T, Schlumpf R. et al . In situ repair of aortobronchial, aortoesophageal, and aortoenteric fistulae with cryopreserved aortic homografts.  J Vasc Surg. 1997;  26 11-17
  • 6 Hargrove W C, Edmonds L H. Management of infected thoracic aortic prosthetic grafts.  Ann Thorac Surg. 1984;  26 37-72-7
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Received for Publication: June 14, 2000

Dr. A. Iguchi

Department of Thoracic and Cardiovascular Surgery
Tohoku University School of Medicine

1-1 Seiryomachi Aoba-ku Sendai City

980-8574

Japan

Phone: +81-22-717-7222

Fax: +81-22-717-7227

Email: iguchi@mail.cc.tohoku.ac.jp