Aortoesophageal fistula treated with emergent thoracic stent grafting

• Main Authors: Shivam Kaushik, BS, Keith Quencer, MD, Larry W. Kraiss, MD
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: Journal of Vascular Surgery Cases and Innovative Techniques
• Subjects: TEVAR; Hematemesis; Aortoesophageal fistula; Embolization
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428721000617

Aortoesophageal fistula (AEF) is a rare pathology with a poor prognosis. Historically, open repair approaches were undertaken. With the advent of endovascular techniques, alternative methods such as thoracic endovascular aortic repair (TEVAR) have emerged. This case describes a patient who presented with severe hematemesis and, upon imaging, an AEF was discovered. Urgent TEVAR was indicated with a graft oversized to the native aorta by 10% to 15%, along with coil embolization of the intercostal artery. We report here on the successful management of AEF via TEVAR.