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New insights regarding aorto-oesophageal fistulation after thoracic endovascular aortic repair

Wednesday, February 19, 2014

Submitted by

Joel Dunning

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: http://ejcts.oxfordjournals.org/content/45/3/452.abstract

Author(s)

Martin Czerny, Holger Eggebrecht, Gottfried Sodeck, Ernst Weigang, Ugolino Livi, Fabio Verzini, Jürg Schmidli, Roberto Chiesa, Germano Melissano, Andrea Kahlberg, Philippe Amabile, Wolfgang Harringer, Michael Horacek, Raimund Erbel, Kay-Hyun Park, Friedhelm Beyersdorf, Bartosz Rylski, Philipp Blanke, Ludovic Canaud, Ali Khoynezhad, Lars Lonn, Hervè Rousseau, Santi Trimarchi, Jan Brunkwall, Michael Gawenda, Zhihui Dong, Weiguo Fu, Ingrid Schuster, and Michael Grimm

Aorto-oesophageal fistulation following thoracic endovascular aortic repair occurred in 36 of 2387 patients with a mean interval of 90 days according to the European Registry of Endovascular Aortic Repair Complications. Key symptoms included fever, haematemesis and shock. Aggressive therapy with radical oesophagectomy and aortic replacement achieved the best 1-year survival.