Successful management of aorto-conduit fistula after esophagectomy: Tips and tricks to avoid catastrophe

Abstract

Aorto-conduit fistula (ACF) is a rare and morbid complication after esophagectomy. We present the case of a successful multidisciplinary rescue and repair of an ACF.

Commentary: Neighbors should keep their distance after esophagectomy

“…Feczko and colleagues 2 describe a patient who presented with massive hematemesis at 9 months after undergoing McKeown esophagectomy and provide a step-by-step description of the management of this patient. Although esophagogastroduodenoscopy seems to be a reasonable first step, massive hemorrhage could make it virtually impossible to obtain adequate visualization.…”

Commentary: Teamwork is needed to prevent aorto-conduit fistulas from being fatal

“…Andrew Feczko and colleagues 1 have presented an interesting but dreaded complication of massive hemorrhage from an aorto-conduit fistula after esophagectomy. They detail the roles of endoscopy to diagnose the complication, angiography to localize the fistula, and surgery for definitive repair.…”