Two-stage Surgery for an Aortoesophageal Fistula Caused by Tuberculous Esophagitis
- Authors
- Shin, Hwa Kyun; Choi, Chang Woo; Lim, Jae Woong; Her, Keun
- Issue Date
- Nov-2015
- Publisher
- 대한의학회
- Keywords
- Esophageal Fistula; Aortic Disease; Thoracic Endovascular Aortic Repair (TEVAR)
- Citation
- Journal of Korean Medical Science, v.30, no.11, pp 1706 - 1709
- Pages
- 4
- Journal Title
- Journal of Korean Medical Science
- Volume
- 30
- Number
- 11
- Start Page
- 1706
- End Page
- 1709
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10166
- DOI
- 10.3346/jkms.2015.30.11.1706
- ISSN
- 1011-8934
1598-6357
- Abstract
- An aortoesophageal fistula (AEF) is an extremely rare, potentially fatal condition, and aortic surgery is usually performed together with extracorporeal circulation. However, this surgical method has a high rate of surgical complications and mortality. This report describes an AEF caused by tuberculous esophagitis that was treated successfully using a two-stage operation. A 52-yr-old man was admitted to the hospital with severe hematemesis and syncope. Based on the computed tomography and diagnostic endoscopic findings, he was diagnosed with an AEF and initially underwent thoracic endovascular aortic repair. Esophageal reconstruction was performed after controlling the mediastinal inflammation. The patient suffered postoperative anastomotic leakage, which was treated by an endoscopic procedure, and the patient was discharged without any further problems. The patient received 9 months of anti-tuberculosis treatment after he was diagnosed with histologically confirmed tuberculous esophagitis; subsequently, he was followed as an outpatient and has had no recurrence of the tuberculosis or any further issues.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Cardiovascular Surgery > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.