Extra-anatomic bypass grafting for aortoesophageal fistula: a logical operation.

Abstract

Aortoesophageal fistula (AEF) is an uncommon cause of upper gastrointestinal hemorrhage. Usually, but not always, patients present with a small sentinel bleed followed by a variable interval of apparent resolution, and then they experience a massive exsanguinating hemorrhage. The variable interval of time after the sentinel bleed is the period in which most AEFs resulting from thoracic aortic aneurysm have been successfully treated. Although only a few successful cases have been reported in the literature, most describe an in situ repair. We describe treatment of a late-presenting AEF due to a thoracic aneurysm with an extra-anatomic bypass graft for the aortic repair.

• Authors: A K Madan, T A Santora, V J Disesa
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 32 Issue 5 Pg. 1030-3 (Nov 2000) ISSN: 0741-5214 [Print] United States
• PMID: 11054236 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Aortic Aneurysm, Thoracic (complications, diagnostic imaging, surgery)
• Aortography
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (methods)
• Esophageal Fistula (complications, diagnosis, surgery)
• Fatal Outcome
• Gastrointestinal Hemorrhage (diagnosis, etiology)
• Graft Survival
• Humans
• Male
• Vascular Fistula (complications, diagnosis, surgery)
• Vascular Surgical Procedures (methods)