A New Mini-Invasive Approach for a Catastrophic Disease: Staged Endovascular and Endoscopic Treatment of Aorto-Esophageal Fistulas.

Abstract

Aorto-esophageal fistula (AEF) is an uncommon but usually fatal disorder. Surgery with resection of an aneurysm and esophagus, in situ reconstruction of the descending aorta and omental flap installation offers the gold standard for the reduction of infections, but it is burdened by high intraoperative and perioperative mortality rates. We report our experience with a combined minimally invasive approach for the multi-stage treatment of three cases of aorto-esophageal fistula caused by thoracic aneurysm rupture. In all of the patients, the aneurysm was treated with thoracic endovascular aortic repair and the esophageal lesion was treated with esophageal endoprosthesis placement. According to our experience, the combined strategy of thoracic endovascular aortic repair (TEVAR) and esophageal less invasive endoscopic treatments represents an alternative solution in frail patients with high surgical risk.

• Authors: Federica Donato, Ivo Boskoski, Claudio Vincenzoni, Francesca Montanari, Giovanni Tinelli, Tommaso Donati, Yamume Tshomba
• Journal: Journal of personalized medicine (J Pers Med) Vol. 12 Issue 10 (Oct 19 2022) ISSN: 2075-4426 [Print] Switzerland
• PMID: 36294876 (Publication Type: Case Reports)