A Lethal Late Complication: Aortoesophageal Fistula after TEVAR

Abstract

Thoracic endovascular aortic repair (TEVAR) has been performed in the treatment of thoracic aortic disease since the mid-1990s. Complications associated with TEVAR are increasing rapidly due to its widespread use. One of these complications is late lethal aortoesophageal fistula (AEF). The aim of this study was to describe the diagnosis of AEF in a 64-year-old woman 8 months after TEVAR. The AEF was diagnosed on a computed tomography angiography with oral and intravenous contrast. The patient underwent open surgical repair and died of sepsis 12 days after surgery.

Keywords

aortoesophageal fistula - aorta - thoracic endovascular aortic repair - open surgical repair

Publication History

Article published online:
19 October 2023

• References

• 1 Eggebrecht H, Mehta RH, Dechene A. et al. Aortoesophageal fistula after thoracic aortic stent-graft placement: a rare but catastrophic complication of a novel emerging technique. JACC Cardiovasc Interv 2009; 2 (06) 570-576
• 2 Kamigaichi A, Hamai Y, Emi M. et al. Three-step surgical treatment of aortoesophageal fistula after thoracic endovascular aortic repair: a case report. Int J Surg Case Rep 2019; 65: 221-224
• 3 Czerny M, Eggebrecht H, Sodeck G. et al. New insights regarding the incidence, presentation and treatment options of aorto-oesophageal fistulation after thoracic endovascular aortic repair: the European Registry of Endovascular Aortic Repair Complications. Eur J Cardiothorac Surg 2014; 45 (03) 452-457
• 4 Chiesa R, Melissano G, Marone EM, Marrocco-Trischitta MM, Kahlberg A. Aorto-oesophageal and aortobronchial fistulae following thoracic endovascular aortic repair: a national survey. Eur J Vasc Endovasc Surg 2010; 39 (03) 273-279
• 5 Sugiyama K, Iwahashi T, Koizumi N, Nishibe T, Fujiyoshi T, Ogino H. Surgical treatment for secondary aortoesophageal fistula. J Cardiothorac Surg 2020; 15 (01) 251
• 6 Luehr M, Etz CD, Nozdrzykowski M. et al. Emergency open surgery for aorto-oesophageal and aorto-bronchial fistulae after thoracic endovascular aortic repair: a single-centre experience. Eur J Cardiothorac Surg 2015; 47 (02) 374-382 , discussion 382–383
• 7 Jiang D, Lu Y, Zhang Y, Hu Z, Cheng H. Aortic penetration due to a fish bone: a case report. J Cardiothorac Surg 2020; 15 (01) 292