Thoracic Endovascular Aortic Repair of Esophageal Cancer-Associated Aortoesophageal Fistula: A Case Report and Literature Review.

Abstract

BACKGROUND:

Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thoracic endovascular aortic repair alone is not well-known.

CASE PRESENTATION:

We report a 67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophageal fistula and was rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional months with management of a mycotic aneurysm and secondary aortoesophageal fistula with the exposure of the stent graft into the esophagus. Thoracic endovascular aortic repair of aortoesophageal fistula with T4-esophageal cancer extended life for nearly an average of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus is rare but life-threatening; the esophageal stent insertion was effective.

CONCLUSIONS:

With postoperative management advances, thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer.

• Authors: Akiko Sasaki, Hideto Egashira, Shinnosuke Tokoro, Chikamasa Ichita, Satoshi Takizawa, Toshitaka Tsukiyama, Hidemitsu Ogino, Jun Kawachi, Rai Shimoyama, Makoto Kako
• Journal: Case reports in oncological medicine (Case Rep Oncol Med) Vol. 2018 Pg. 9851397 ( 2018) ISSN: 2090-6706 [Print] United States
• PMID: 30662781 (Publication Type: Case Reports)