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J Thorac Cardiovasc Surg 2007;134:1585-1586
© 2007 The American Association for Thoracic Surgery

Brief Communication

Aortoesophageal fistula secondary to stent-graft repair of the thoracic aorta after previous surgical coarctation repair

Department of Cardiac Surgery, University Hospital Birmingham NHS Trust, Birmingham, United Kingdom.

Received for publication July 19, 2007; accepted for publication August 7, 2007.

^_* Address for reprints: Professor Robert S. Bonser, Department of Cardiac Surgery, Queen Elizabeth Hospital, Birmingham B15 2TH, United Kingdom. (Email: Robert.Bonser@uhb.nhs.uk).

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

Aortoesophageal fistula (AEF) is a highly lethal cause of massive gastrointestinal bleeding and a catastrophic complication after thoracic endovascular stent-graft aortic reconstruction (TEVAR).¹ We report the management of AEF developing after TEVAR of a pseudoaneurysm of the descending aorta after coarctation repair.

Clinical Summary

A 31-year-old woman was admitted to a peripheral hospital with an episode of massive hematemesis. She had undergone a patch-technique coarctation repair at age 3 years and required balloon dilatation for recoarctation at age 14 years. Annual cardiologic follow-up detected, at age 26 years, a pseudoaneurysm at the coarctation site with dimensions of 2.4 x 1.9 cm. The pseudoaneurysm size remained stable, but 8 months before the hematemesis, TEVAR was recommended to avert any risk of rupture and a Jomed 48 x 20-mm covered stent (Abbott Vascular Ltd, Kent, United Kingdom) was deployed at the coarctation site pseudoaneurysm. Post-TEVAR imaging suggested satisfactory exclusion.

After . . . [Full Text of this Article]

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