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CC BY 4.0 · Aorta (Stamford) 2013; 01(06): 283-285
DOI: 10.12945/j.aorta.2013.13-045
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Esophago-Pleural Fistula Caused by Compression Necrosis In a Patient With Acute Type B Aortic Dissection

Toshiro Ito
1   Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
,
Yohsuke Kuroda
1   Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
,
Toshitaka Watanabe
1   Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
,
Tetsuya Koyanagi
1   Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
,
Tetsuya Higami
1   Department of Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
› Author Affiliations
Further Information

Publication History

30 August 2013

06 December 2013

Publication Date:
28 September 2018 (online)

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Abstract

Esophago-pleural fistula associated with thoracic aortic aneurysm is a rare and lethal complication. We report the case of a 62-year-old male who suffered from esophago-pleural fistula 56 days after thoracoabdominal aortic surgery. Contrasted CT showed that the fistula occurred at the level of the esophagus compressed by rapid dilatation of thoracic aorta and endoscopy revealed no ischemic signs on esophageal mucosa, demonstrating that the cause of esophago-pleural fistula was compression necrosis due to rapid dilatation of the thoracoabdominal aortic aneurysm.

Key Words

Esophago-pleural fistula - Acute aortic dissection - Complication