Acute Management of Aortoesophageal Fistula and Tracheoesophageal Fistula Treated by Thoracic Endovascular Aortic Repair and Esophageal Endoprosthesis: A Case Misdiagnosed as Esophageal Cancer

Ferrero, Emanuele; Viazzo, Andrea; Ferri, Michelangelo; Rocca, Rodolfo; Pecchio, Alberto; Piazza, Salvatore; Cumbo, Pia; Berardi, Giuseppe; Nessi, Franco

doi:10.1016/j.avsg.2011.06.009

Cited by 13 publications

(5 citation statements)

References 22 publications

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“…This is a minimally invasive, effective method that can be conducted in a short time. 1807 In the case of progression to AEF, the above open surgery may be required, but TEVAR is also effective as bridge surgery. The mortality rates within 30 days after TEVAR or open surgery are reportedly 9.4 and 27.5%, respectively; the results of TEVAR are favorable.…”

Section: Recommendationmentioning

confidence: 99%

JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection

Ogino,

Iida,

Akutsu

et al. 2023

Circ J

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▋ 1.3.2 Location of AneurysmsAneurysms are classified into thoracic, thoracoabdominal, and abdominal aneurysms, which are further classified as follows: Thoracic: It is further classified into ascending, arch, and descending aortic aneurysms. Thoracoabdominal: The Crawford classification based on the range of replacement in thoracoabdominal aneurysm surgery (Figure 5). Abdominal: Abdominal aortic aneurysms are classified using the renal artery as the reference into the supra-and infra-renal segments. ▋ 1.3.3 CauseBased on the cause of the aneurysm, aortic aneurysms are classified into atherosclerotic, traumatic, inflammatory, infected, congenital, etc. Most of them are atherosclerotic aortic aneurysms. Advance Publication13 JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection is indicated for saccular aneurysms regardless of the size of the thickening (See PQ 1). Inflammatory aortic aneurysm: Aneurysm caused by inflammation. Although, in general, "inflammation" is a concept that includes infection, however, inflammatory aortic aneurysm does not include the aortic aneurysm with infection. Inflammatory periaortitis: A case with inflammation around the aorta but with less aortic dilation that does not meet the criteria of aneurysm. Infected aortic aneurysm: Aneurysm caused by infection. Rupture: Extravascular blood leakage due to damage to the arterial wall. Impending rupture: The absence of damage to the arterial wall despite the presence of aneurysmal pain. ▋ 4.2 Aortic DissectionDissecting aneurysm: Aortic dissection with aneurysmal formation. A general term that was previously used for overall aortic dissection. However, because in many cases with aortic dissection in acute phase does not meet the criteria for an aneurysm, aortic dissection in acute phase is now called, "acute aortic dissection." True lumen: The original arterial cavity. False lumen: A new cavity formed in the arterial wall (the term "dissection cavity" is not appropriate). Dissection flap: The (intima-media) septal wall. It used to be called "intimal dissection." However, it actually consists of intima and a part of the media. Tear: Intimal and medial tears of aortic dissection which is the site of communication between the true lumen and the false lumen. "Intimal tear" is also regularly used as a synonym for "tear". Entry: A site where blood flow enters from the true lumen to the false lumen. Re-entry: A site where blood flow enters from the false lumen to the true lumen. ("communication window" that is also used as a term for both entry and re-entry) Aortic dissection with patent false lumen: It is a synonym for "communicating aortic dissection", a type of aortic dissection in Europe classification. It is also called "classic dissection" or "double barrel aorta." One of the three types of aortic dissection in Japanese Aortic dissection with thrombosed false lumen: It is a synonym for "noncommunicating aortic dissection", a type of aortic dissection in Europe classification. One of the three ty...

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Section: Recommendationmentioning

confidence: 99%

JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection

Ogino,

Iida,

Akutsu

et al. 2023

Circ J

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“…[68][69][70] These patients can present with a spectrum from sentinel bleed 71 to hemorrhagic shock 69,72 in the form of hematemesis or hemoptysis. 69,70,73 Other presentations include dysphagia, 69,74 thoracic pain, 69,71 melena, 69,75 and signs of infection or inflammation. [69][70][71][72] Cases have also been misdiagnosed as esophageal carcinoma.…”

Section: Retrograde Type a Dissectionmentioning

confidence: 99%

“…[69][70][71][72] Cases have also been misdiagnosed as esophageal carcinoma. 75 Patients, however, do not always present dramatically, and clinical suspicion should remain high in patients with a history of TEVAR.…”

Section: Retrograde Type a Dissectionmentioning

confidence: 99%

Complications and Perioperative Management of Patients Undergoing Thoracic Endovascular Aortic Repair

Sattah

Secrist

Sarin

2017

J Intensive Care Med

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Endovascular treatments have become increasingly common for patients with a variety of thoracic aortic pathologies. Although considered less invasive than traditional open surgical approaches, they are nonetheless complex procedures. Patients undergo manipulation of an often calcified aorta near the origin of the carotid and subclavian vessels and have stents placed in a curved vessel adjacent to a perpetually beating heart. These stents can obstruct blood flow to the spinal cord, induce an inflammatory response, and in rare cases erode into the adjacent trachea or esophagus. Renal complications range from contrast-induced nephropathy to hypotension and ischemia to dissection. Emboli can lead to strokes and mesenteric ischemia. These patients have complex medical histories, and skilled perioperative management is critical to achieving the best clinical outcomes. Here, we review the medical management of the most common complications in these patients including stroke, spinal cord ischemia, renal injury, retrograde dissections, aortoesophageal and aortobronchial fistulas, postimplantation syndrome, mesenteric ischemia, and endograft failure.

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“…The management for AEF has been previously described. 12,13 Different methods have been used, including aortic graft replacement and esophagectomy with both primary and delayed oesophago-gastro anastomosis. 14 For fi stulae secondary to thoracic aneurysms, aortic stent grafting for initial haemostasis, followed by open surgical aortic segment replacement and interval oesophageal repair have been described.…”

Section: Letter To the Editormentioning

confidence: 99%

Aorto-oesophageal Fistula from Miliary Tuberculosis: A Rare Cause of Massive Haematemesis

Yeow

Fong

Rao

et al. 2014

Ann Acad Med Singap

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Acute Management of Aortoesophageal Fistula and Tracheoesophageal Fistula Treated by Thoracic Endovascular Aortic Repair and Esophageal Endoprosthesis: A Case Misdiagnosed as Esophageal Cancer

Cited by 13 publications

References 22 publications

JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection

JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection

Complications and Perioperative Management of Patients Undergoing Thoracic Endovascular Aortic Repair

Aorto-oesophageal Fistula from Miliary Tuberculosis: A Rare Cause of Massive Haematemesis

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