A primary aortoesophageal fistula due to esophageal carcinoma successfully treated with endoluminal aortic stent grafting.

摘要

A primary aortoenteric fistula is described as the communication between the aorta and the intestine without previous aortic surgery. Aortoesophageal fistula is a relatively rare but life-threatening cause of upper gastrointestinal tract bleeding. A thoracic aortic aneurysm is the most common reported cause, and ulceration of a carcinoma is a rarity. Although surgeons agree that the treatment of the primary aortoesophageal fistula should be surgical, the mortality is very high. Herein, we report a primary aortoesophageal fistula due to esophageal carcinoma successfully treated by using endoluminal aortic stent grafting.A 64-year-old man was admitted to our department with persistent midthoracic pain, severe dysphagia, and a weight loss of 8 kg during the previous 3 months. An upper gastrointestinal endo-scopic study revealed a friable tumor 5 cm in length in the middle thoracic esophagus.