The online version of this article (https://doi.org/10.1186/s12893-018-0335-1) contains supplementary material, which is available to authorized users.
Aortoesophageal fistula (AEF) and arch pseudoaneurysm are rare complications induced by a foreign body, and considerable controversy remains regarding the appropriate management strategies. We herein report a successful one-stage hybrid treatment in a patient with AEF and arch pseudoaneurysm.
The patient, a 40-year-old man, presented to the emergency room because of intense retrosternal discomfort for 3 days and hematemesis for 3 h. The esophagoscopy and thoracic enhanced computed tomography (CT) showed two irregular mural ulcers in the esophagus and a large saccular pseudoaneurysm at the aortic isthmus, respectively. The laboratory examinations confirmed no widespread inflammation and infection. We have successfully performed a successful one-stage hybrid treatment for this patient. Six-month follow-up shows the patient is in good condition and the esophagoscopy reveals the two mural ulcers had completely healed.
The treatment decision-making process should depend upon the patients’ specific situations. Our case suggest the one-stage hybrid treatment could be an valuable alternative in some selected patients.
Additional file 1: The procedure of the placement of an occluder combined with aortic stent for pseudoaneurysm. (MP4 82,688 kb)12893_2018_335_MOESM1_ESM.mp4
Chiari H. Ueber Fremdkorperverletzung des Oesophagus mit Aortenperforation. Ber KlinWochenschr. 1914;51:7–9.
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- BioMed Central
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