Browse > Article
http://dx.doi.org/10.20408/jti.2019.023

Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury  

Nitta, Masakazu (Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital)
Tamakawa, Taro (Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital)
Kamimura, Natsuo (Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital)
Honda, Tadayuki (Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital)
Endoh, Hiroshi (Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital)
Publication Information
Journal of Trauma and Injury / v.32, no.3, 2019 , pp. 172-175 More about this Journal
Abstract
Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR.
Keywords
Esophageal fistula; Aortic rupture; Frailty; Endovascular procedures;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Ultee KH, Soden PA, Chien V, Bensley RP, Zettervall SL, Verhagen HJ, et al. National trends in utilization and outcome of thoracic endovascular aortic repair for traumatic thoracic aortic injuries. J Vasc Surg 2016;63:1232-9.   DOI
2 Patelis N, Katsargyris A, Klonaris C. Endovascular repair of traumatic isthmic ruptures: special concerns. Front Surg 2017;4:32.   DOI
3 Akhmerov A, DuBose J, Azizzadeh A. Blunt thoracic aortic injury: current therapies, outcomes, and challenges. Ann Vasc Dis 2019;12:1-5.   DOI
4 Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The task force for the diagnosis and treatment of aortic diseases of the European Society of Cardiology (ESC). Eur Heart J 2014;35:2873-926.   DOI
5 Riambau V, Bockler D, Brunkwall J, Cao P, Chiesa R, Coppi G, et al. Editor's choice - management of descending thoracic aorta diseases: clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2017;53:4-52.   DOI
6 Xi EP, Zhu J, Zhu SB, Zhang Y. Secondary aortoesophageal fistula after thoracic aortic aneurysm endovascular repair: literature review and new insights regarding the hypothesized mechanisms. Int J Clin Exp Med 2014;7:3244-52.
7 Gomibuchi T, Seto T, Komatsu M, Tanaka H, Ichimura H, Yamamoto T, et al. Impact of frailty on outcomes in acute type a aortic dissection. Ann Thorac Surg 2018;106:1349-55.   DOI
8 Furukawa H, Yamane N, Honda T, Yamasawa T, Kanaoka Y, Tanemoto K. Initial clinical evaluation of preoperative frailty in surgical patients with Stanford type A acute aortic dissection. Gen Thorac Cardiovasc Surg 2019;67:208-13.   DOI