Successful surgical treatment of a 4-month infant after exsanguination for aortoesophageal fistula

D'Angelis, Amanda R.D.V.; Questa, Horacio; Prieto, Fermín; Laundry, Luis; Charroqui, Alberto

doi:10.1016/j.jpedsurg.2005.12.026

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…In the setting of double aortic arch, a recent review of published cases revealed a 60% survival rate for infants who hemorrhaged while hospitalized (23). Although prompt resuscitation and immediate surgical repair were the hallmarks of successful care, many authors have reported the use of a Blakemore tube in the acute preoperative management of these double aortic arch patients (24–26). Endovascular intervention has also been used in adults to gain control of a hemorrhaging AEF (22,27), but this technique has not been described in children.…”

Section: Resultsmentioning

confidence: 99%

Management of Button Battery–induced Hemorrhage in Children

Brumbaugh

Colson

Sandoval

et al. 2011

J. pediatr. gastroenterol. nutr.

106

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Section: Resultsmentioning

confidence: 99%

Management of Button Battery–induced Hemorrhage in Children

Brumbaugh

Colson

Sandoval

et al. 2011

J. pediatr. gastroenterol. nutr.

106

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“…This is because of the different aetiologias in pediatric and adult patients; the most common cause in adults is thoracic aortic aneurysm, which is rare among children. Endoscopy findings varied in reported cases, and included pulsatile or fresh bleeding [ 11 , 12 , 40 ], pulsatile submucosal hematoma [ 44 ], a non-pulsatile purple mass protruding into the esophagus in the aneurysm [ 36 ], esophageal ulcer with [ 18 ] or without bleeding [ 13 ], thickened mucosa [ 21 ], and an odd purple streak [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A 2-Year-Old Boy Who Developed an Aortoesophageal Fistula After Swallowing a Button Battery, Managed Using a Novel Procedure with Vascular Plug Device as a Bridge to Definitive Surgical Repair

et al. 2021

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Patient: Male, 2-year-old Final Diagnosis: Aortoesophageal fistula Symptoms: Esophageal foreign body • gastrointestinal bleeding Medication: — Clinical Procedure: — Specialty: Gastroenterology and Hepatology • Pediatrics and Neonatology Objective: Rare disease Background: Button batteries (BBs) can be inhaled or swallowed accidentally, particularly by infants and children, who can present as a surgical emergency with a fatal outcome. This report is of a case of a 2-year-old boy who developed an aortoesophageal fistula (AEF) after swallowing a button battery and was successfully treated using a novel vascular plug device as a bridge to definitive surgical repair. AEF is diagnosed using computed tomography angiography (CTA), after laparotomy, and using aortography. Aortic endovascular stenting and vascular occluder placement is a minimally invasive emergency option until definitive treatment can be provided. The surgical options include repair the aortic defect primarily, or the diseased segment of the aorta is replaced with a graft. Case Report: A 2-year-old boy presented with hematemesis 9 days after ingestion of a button battery, which was removed endoscopically 16 hours after the incident. The patient was resuscitated aggressively and diagnosed to have AEF using computed tomography angiography (CTA). The aorta was successfully repaired using a vascular plug device, which kept the patient safe until the definitive surgical treatment was done 2 months later. The defect was repaired with direct anastomosis and completed with a patch of bovine pericardium, as well as closure of the fistula from the esophageal side with stitches. Conclusions: This report presents a rare but previously reported complication of swallowing a button battery, resulting in an aortoesophageal fistula. The aorta was successfully repaired using a vascular plug as a minimally invasive emergency option, which is considered as a lifesaving procedure and a bridge for definitive repair.

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“…AEF that is caused by intubation into the esophagus is reported to be a fatal complication in DAA patients [1,2,3,4,5,6,7,8,9], although only 1 case has been reported in adults [1]. As both an inserted tube and the vascular ring together compress the esophageal wall, necrosis and ulceration develop and often result in AEF accompanied with massive hematemesis [5].…”

Section: Discussionmentioning

confidence: 99%

“…It is useful in feeding, drainage, etc. But the combination of nasogastric tube and double aortic arch (DAA), a rare congenital vascular abnormality, is known to cause fatal aortoesophageal fistula (AEF) [1,2,3,4,5,6,7,8,9]. Moreover, DAA had never been reported as a cause of superior mesenteric artery (SMA) syndrome.…”

Section: Introductionmentioning

confidence: 99%

A Fatal Aortoesophageal Fistula Caused by Critical Combination of Double Aortic Arch and Nasogastric Tube Insertion for Superior Mesenteric Artery Syndrome

Miura¹,

Nakamura²,

Yamada³

et al. 2010

Case Rep Gastroenterol

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Double aortic arch (DAA) is a rare vascular congenital abnormality. Since a vascular ring surrounds bronchus and esophagus, any oral or nasal intubation can physically cause fatal aortoesophageal fistula (AEF). We report herein the first case of association of DAA and superior mesenteric artery (SMA) syndrome and the second case of AEF caused by nasogastric intubation in an adult with DAA. A 19-year-old woman visited our hospital for nausea and vomiting. She was diagnosed with SMA syndrome by computed tomography (CT). Nasogastric intubation relieved her symptoms in 4 days. Extramural compression with top ulceration was found in esophagogastroduodenoscopy on the 5th hospital day. She suddenly showed massive hematemesis on the 12th hospital day. AEF was found by CT. Soon, she died despite of intensive care. Retrospective interview disclosed the fact that DAA was pointed out in her childhood. We conclude that intubation must be avoided in DAA and a detailed clinical interview about DAA is mandatory to avoid AEF.

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Successful surgical treatment of a 4-month infant after exsanguination for aortoesophageal fistula

Cited by 7 publications

References 9 publications

Management of Button Battery–induced Hemorrhage in Children

Management of Button Battery–induced Hemorrhage in Children

A 2-Year-Old Boy Who Developed an Aortoesophageal Fistula After Swallowing a Button Battery, Managed Using a Novel Procedure with Vascular Plug Device as a Bridge to Definitive Surgical Repair

A Fatal Aortoesophageal Fistula Caused by Critical Combination of Double Aortic Arch and Nasogastric Tube Insertion for Superior Mesenteric Artery Syndrome

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