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An aorto--oesophageal fistula following endograft: sealing of fistulae with omentum and replacement of the aorta.

Authors
  • Idhrees, A Mohammed1
  • Jacob, Aju1
  • Velayudhan, Bashi V1
  • 1 Institute for Cardiac and Advanced Aortic Disorders (ICAAD), SRM Institutes for Medical Science, Chennai, Tamil Nadu, India. , (India)
Type
Published Article
Journal
Interactive Cardiovascular and Thoracic Surgery
Publisher
Oxford University Press
Publication Date
Oct 26, 2017
Identifiers
DOI: 10.1093/icvts/ivx347
PMID: 29087469
Source
Medline
Keywords
License
Unknown

Abstract

Aorto-oesophageal fistulae represent <10% of all aortoenteric fistulae and occur in 1.9% of patients who undergo thoracic endovascular aortic repair for treatment of thoracic aortic aneurysms. Untreated patients have a mortality close to 100%. A 74-year-old man had aorto-oesophageal fistulae secondary to thoracic endovascular aortic repair. He had a functioning left internal thoracic artery graft to the left anterior descending artery and a calcific distal aortic arch. He underwent replacement of the thoracic aorta and sealing of the fistulous tract with omentum, and the latter was used to wrap the neoaorta.

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