Treatment of aortoesophageal fistula after endovascular aortic repair for mycotic thoracic aneurysm secondary to endoscopic botulinum toxin injections

Endoscopic botulinum toxin injections to the esophagus is a safe and effective treatment for the management of achalasia or distal esophageal spasms. This case study describes a complication of late mycotic aneurysm formation at the level of the descending thoracic aorta requiring urgent endovascula...

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Bibliographic Details
Main Authors: Michaël Huysmans, Jürgen Verbist, Wouter Van den Eynde, Fien Gryffroy, Koen Vermeiren, Pieter-Jan Cuyle
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772687822000101
Description
Summary:Endoscopic botulinum toxin injections to the esophagus is a safe and effective treatment for the management of achalasia or distal esophageal spasms. This case study describes a complication of late mycotic aneurysm formation at the level of the descending thoracic aorta requiring urgent endovascular repair. Afterwards, development of an aortoesophageal fistula demanded radical surgical therapy consisting of esophageal resection, stent-graft removal and both aortic and esophageal reconstruction.
ISSN:2772-6878