Surgical Treatment of an Aortoesophageal Fistula Caused by Stent Implantation for Esophageal Stenosis: Report of a Case

摘要

An aortoesophageal fi stula is uncommon, but almost nalways fatal. We report a case of an aortoesophageal nfi stula that developed after stent dilation for an esopha-ngeal stricture caused by benign esophagitis. As soon as nesophageal hemorrhaging was identifi ed by endoscopy, nthe patient was transferred to the operating theater; nhowever, the uncontrollable and massive bleeding nresulted in pulseless shock. The digestive surgeon put nside-clamps on the descending aorta and esophagus and ntransferred the patient to our hospital. We identifi ed an naortoesophageal fi stula, 3.0 mm in diameter, in the ndescending aorta, and performed a graft replacement of nthe descending aorta and esophagectomy. It was imme-ndiately evident that the edge of the stent had been stick-ning into the aortic wall, which had caused the fi stula. To nour knowledge, this is the fi rst report of successful surgi-ncal treatment of an aortoesophageal fi stula caused by nesophageal stent dilatation.