Aorto‐esophageal fistula: the multi‐disciplinary team approach to management

Wormald, Justin C.R.; Dindyal, Shiva; Thomas, Robert H.; Peters, Christopher J.; Sritharan, Kaji

doi:10.1002/ccr3.631

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Otras etiologías son los aneurismas disecantes de la aorta, los pseudoaneurismas postraumáticos, las malformaciones cardiovasculares como el doble arco aórtico y las reparaciones quirúrgicas de estos [11][12][13][14][15][16][17].…”

Section: Discussionunclassified

Fístula aortoesofágica

2017

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Como citar este artículo: Vélez AM, Bohórquez-Lozano M, Vélez-Ruiz J. Fístula aortoesofágica: a propósito de un caso fatal. Colomb Forense;4(1):79-85. doi: http://dx.doi.org/10. 16925/cf.v4i1.1960 Resumen. Introducción: la fístula aortoesofágica (fae) es considerada una entidad rara, con alta letalidad, que suele presentarse como una muerte súbita en la mayoría de los casos, esto motiva la investigación judicial y la autopsia médico-legal. El propósito de esta presentación de caso fue enfatizar los hallazgos de autopsia en esta causa de muerte, lo que permite a los médicos rurales o peritos forenses buscar y reconocer los criterios morfológicos macroscópicos de la fae y así realizar un diagnóstico preciso ante esta entidad. Métodos y materiales: revisión de la información escrita, realización de disección estándar que por los hallazgos ameritó la revisión completa y detallada del bloque cardiopulmonar y gastrointestinal en conjunto. Historia del caso: se presenta el caso de un hombre de 53 años que fallece súbita-mente después de evento hematemético. En la autopsia se evidencia una fae por úlcera perforante de la pared anterior de la aorta descendente, debido a una placa ateromatosa complicada. Se analizan los diferentes procesos etiopatogénicos y los procedimientos de autopsia que llevan a esta conclusión. Resultados y discusión: se reporta en este caso una fae, la muerte se produce por choque hipovolémico asociado a insuficiencia respiratoria por broncoaspiración hemática y, etiológica-mente, se identifica una placa ateromatosa complicada con úlcera y ruptura hacia el esófago, que se corresponde con las causas frecuentes de los reportes mundiales. Conclusión: la fae debe sospecharse en casos de muerte súbita con antecedentes de hematemesis y distensión hemática gástrica al momento de la autopsia.Palabras clave: autopsia, fístula aortoesofágica, hemorragia gastrointestinal, muerte súbita, reporte de caso.

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Section: Discussionunclassified

Fístula aortoesofágica

2017

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“…The need for diagnostic and management strategies is imperative. A multidisciplinary approach to mitigate the injury and offer therapeutic solutions could reduce the high mortality [3][4]. We report a patient with hemorrhagic shock secondary to an aortoesophageal fistula as a complication of esophageal cancer, radiotherapy, and esophageal stent placement.…”

Section: Introductionmentioning

confidence: 99%

Hemorrhagic Shock Secondary to Aortoesophageal Fistula as a Complication of Esophageal Cancer

Guerrero

Cuenca

Cardenas

et al. 2020

Cureus

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Although aortoesophageal fistulas are rare, they can present as life-threatening emergencies. This condition can develop secondary to an aneurysm, foreign bodies, infiltrating tumors, and radiotherapy. We report a patient with hemorrhagic shock secondary to an aortoesophageal fistula. A 69-year-old male with squamous cell carcinoma of the esophagus treated with chemoradiation and metallic stent placement was admitted to the intensive care unit (ICU) after an episode of hematemesis. The patient was hemodynamically unstable, requiring fluid resuscitation, blood transfusions, and respiratory and vasopressor support. The patient developed electric pulseless activity, and cardiopulmonary resuscitation was performed for 40 minutes. An upper endoscopy showed the esophageal tumor infiltrating into the stent, and computed tomography (CT) angiogram showed leakage of contrast from the thoracic aorta to the esophagus. The diagnosis of aortoesophageal fistula was made. The patient underwent endovascular management for the fistula. However, his critical condition did not improve, and the patient perished.

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“…Aortoesophageal fistula (AEF) is a rarely encountered clinical outcome that is most often a result of esophageal malignancy or a postoperative complication from thoracic aortic aneurysm endovascular repair (TEVAR procedure) (1)(2)(3)(4)(5)(6)(7)(8). It has also been reported in the rare settings of a swallowed foreign object, achalasia with megaesophagus, as part of a trachea-AEF in the setting of a patient with a double aortic arch and tracheostomy, esophageal infection, radiotherapy, bronchial carcinoma, caustic ingestion, and perforation of Barrett's ulcer (9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Aortoesophageal Fistula Secondary to Esophageal Diverticulum Resulting in Sudden Unexpected Death

Ndikumana¹,

Lal²,

Herath³

2021

Academic Forensic Pathology

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Aortoesophageal fistula (AEF) is a rarely encountered clinical outcome that is often fatal. It is most commonly a postoperative complication of vascular surgery (secondary AEF). Reported primary causes of AEF include aortic aneurysm, atherosclerosis, infection, foreign objects, achalasia with megaesophagus, gastrointestinal malignancy, and radiotherapy. Aortoesophageal fistula is often not a top diagnostic consideration for clinicians or pathologists and has the potential to be overlooked. This report describes a rare case of AEF secondary to an esophageal traction diverticulum and associated abscess that resulted in the sudden unexpected death of a 78-year-old male. Aortoesophageal fistula is an important consideration for pathologists and requires careful consideration in the postmortem setting.

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Aorto‐esophageal fistula: the multi‐disciplinary team approach to management

Cited by 3 publications

References 5 publications

Fístula aortoesofágica

Fístula aortoesofágica

Hemorrhagic Shock Secondary to Aortoesophageal Fistula as a Complication of Esophageal Cancer

Aortoesophageal Fistula Secondary to Esophageal Diverticulum Resulting in Sudden Unexpected Death

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