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J Thorac Cardiovasc Surg 2006;131:486-487
© 2006 The American Association for Thoracic Surgery

Brief Communication

A primary aortoesophageal fistula due to esophageal carcinoma successfully treated with endoluminal aortic stent grafting

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Received for publication July 15, 2005; revisions received August 26, 2005; accepted for publication August 30, 2005.

^_* Address for reprints: Yoshifumi Ikeda, MD, Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan (Email: yikeda@med.teikyo-u.ac.jp).

The first 20% of the full text of this article appears below.

A primary aortoenteric fistula is described as the communication between the aorta and the intestine without previous aortic surgery. Aortoesophageal fistula is a relatively rare but life-threatening cause of upper gastrointestinal tract bleeding. A thoracic aortic aneurysm is the most common reported cause, and ulceration of a carcinoma is a rarity. ¹ Although surgeons agree that the treatment of the primary aortoesophageal fistula should be surgical, the mortality is very high. Herein, we report a primary aortoesophageal fistula due to esophageal carcinoma successfully treated by using endoluminal aortic stent grafting.

Clinical Summary

A 64-year-old man was admitted to our department with persistent midthoracic pain, severe dysphagia, and a weight loss of 8 kg during the previous 3 months. An upper gastrointestinal endoscopic study revealed a friable tumor 5 cm in length in the middle thoracic esophagus. The esophageal tumor was diagnosed as a moderately differentiated squamous cell carcinoma by endoscopic biopsy samples. A computed tomographic scan revealed that the tumor invaded into the descending aorta. Therefore, the patient was treated . . . [Full Text of this Article]

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