Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach

Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case...

Full description

Bibliographic Details
Main Authors:	Marco Virgilio Usai, MD, Antje Gottschalk, MD, Thomas Schönefeld, MD, Johannes Frederik Schaefers, MD, Giovanni B. Torsello, MD, Andreas Rukosujew, MD
Format:	Article
Language:	English
Published:	Elsevier 2018-03-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428718300042

id	doaj-c4b838ffcc26473eafa5e939d87a8dea
record_format	Article
spelling	doaj-c4b838ffcc26473eafa5e939d87a8dea2020-11-25T00:21:40ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872018-03-01415053Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approachMarco Virgilio Usai, MD0Antje Gottschalk, MD1Thomas Schönefeld, MD2Johannes Frederik Schaefers, MD3Giovanni B. Torsello, MD4Andreas Rukosujew, MD5Department of Vascular and Endovascular Surgery, University Hospital Münster, Münster, Germany; Correspondence: Marco Virgilio Usai, MD, Department of Vascular and Endovascular Surgery, University Hospital Münster, Waldeyerstrasse 30, Muenster, NRW 48149, GermanyDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Münster, Münster, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Münster, Münster, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Münster, Münster, GermanyDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University Hospital Münster, Münster, GermanyAortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case of a 76-year-old woman with aortoesophageal fistula treated by a three-step treatment approach, with close collaboration between cardiothoracic and general surgery specialists. The patient required tracheostomy after the first procedure, but this was closed at 15 days. She subsequently recovered and is doing well at 3 months after surgery. Staged treatment aims to shorten operative times, to reduce the risk of anesthesia complications, and to provide the patients the time to recover after each procedure.http://www.sciencedirect.com/science/article/pii/S2468428718300042
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Marco Virgilio Usai, MD Antje Gottschalk, MD Thomas Schönefeld, MD Johannes Frederik Schaefers, MD Giovanni B. Torsello, MD Andreas Rukosujew, MD
spellingShingle	Marco Virgilio Usai, MD Antje Gottschalk, MD Thomas Schönefeld, MD Johannes Frederik Schaefers, MD Giovanni B. Torsello, MD Andreas Rukosujew, MD Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Marco Virgilio Usai, MD Antje Gottschalk, MD Thomas Schönefeld, MD Johannes Frederik Schaefers, MD Giovanni B. Torsello, MD Andreas Rukosujew, MD
author_sort	Marco Virgilio Usai, MD
title	Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_short	Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_full	Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_fullStr	Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_full_unstemmed	Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach
title_sort	late-onset aortoesophageal fistula after treatment of a chronic type b aortic dissection with a three-step approach
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2018-03-01
description	Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case of a 76-year-old woman with aortoesophageal fistula treated by a three-step treatment approach, with close collaboration between cardiothoracic and general surgery specialists. The patient required tracheostomy after the first procedure, but this was closed at 15 days. She subsequently recovered and is doing well at 3 months after surgery. Staged treatment aims to shorten operative times, to reduce the risk of anesthesia complications, and to provide the patients the time to recover after each procedure.
url	http://www.sciencedirect.com/science/article/pii/S2468428718300042
work_keys_str_mv	AT marcovirgiliousaimd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach AT antjegottschalkmd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach AT thomasschonefeldmd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach AT johannesfrederikschaefersmd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach AT giovannibtorsellomd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach AT andreasrukosujewmd lateonsetaortoesophagealfistulaaftertreatmentofachronictypebaorticdissectionwithathreestepapproach
_version_	1725361630932369408

Late-onset aortoesophageal fistula after treatment of a chronic type B aortic dissection with a three-step approach

Similar Items