Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition
Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leuko...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428719301479 |
| _version_ | 1818533772353601536 |
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| author | Kaitlyn M. Dunphy, MD Jesus G. Ulloa, MD Peyman Benharash, MD Jay Lee, MD Donald T. Baril, MD |
| author_facet | Kaitlyn M. Dunphy, MD Jesus G. Ulloa, MD Peyman Benharash, MD Jay Lee, MD Donald T. Baril, MD |
| author_sort | Kaitlyn M. Dunphy, MD |
| collection | DOAJ |
| description | Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leukocytosis, and hematemesis. A computed tomography scan demonstrated migration of the esophageal stent with aortic erosion concerning for AEF. She underwent emergent endovascular exclusion of an AEF to the descending thoracic aorta with subsequent esophageal resection and diversion and aortic endograft explant, resection, and homograft repair on postoperative day 6 allowing for staged removal of prosthetic material and maintenance of inline flow. |
| first_indexed | 2024-12-11T18:03:09Z |
| format | Article |
| id | doaj.art-7aac075de5fe47afaa23936749bb0c63 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-11T18:03:09Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-7aac075de5fe47afaa23936749bb0c632022-12-22T00:55:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-09-0163313316Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interpositionKaitlyn M. Dunphy, MD0Jesus G. Ulloa, MD1Peyman Benharash, MD2Jay Lee, MD3Donald T. Baril, MD4Department of Vascular Surgery, MedStar Washington Hospital Center/MedStar Georgetown University Hospital, Washington, D.C; Correspondence: Kaitlyn M. Dunphy, MD, MedStar Heart and Vascular Institute, Department of Vascular Surgery, 110 Irving St NW, POB Ste 3900, Washington, D.C. 20010Division of Vascular Surgery, University of California, Los Angeles, Los Angeles, CalifDivision of Cardiothoracic Surgery, University of California, Los Angeles, Los Angeles, CalifDivision of Thoracic Surgery, University of California, Los Angeles, Los Angeles, CalifDivision of Vascular Surgery, University of California, Los Angeles, Los Angeles, CalifAortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leukocytosis, and hematemesis. A computed tomography scan demonstrated migration of the esophageal stent with aortic erosion concerning for AEF. She underwent emergent endovascular exclusion of an AEF to the descending thoracic aorta with subsequent esophageal resection and diversion and aortic endograft explant, resection, and homograft repair on postoperative day 6 allowing for staged removal of prosthetic material and maintenance of inline flow.http://www.sciencedirect.com/science/article/pii/S2468428719301479Aortoesophageal fistulaEsophageal stentTEVARHomograft |
| spellingShingle | Kaitlyn M. Dunphy, MD Jesus G. Ulloa, MD Peyman Benharash, MD Jay Lee, MD Donald T. Baril, MD Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition Journal of Vascular Surgery Cases and Innovative Techniques Aortoesophageal fistula Esophageal stent TEVAR Homograft |
| title | Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| title_full | Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| title_fullStr | Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| title_full_unstemmed | Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| title_short | Aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| title_sort | aortoesophageal fistula treated with staged aortic stent graft and subsequent homograft interposition |
| topic | Aortoesophageal fistula Esophageal stent TEVAR Homograft |
| url | http://www.sciencedirect.com/science/article/pii/S2468428719301479 |
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