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CC BY 4.0 · Aorta (Stamford) 2017; 05(03): 96-100
DOI: 10.12945/j.aorta.2017.16.044
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula after Covered Rupture of Aortic Homograft

A Durable Option?
Michal Nozdrzykowski
1   Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany
,
Jens Garbade
1   Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany
,
Steffen Leinung
2   Department of Visceral and Thoracic Surgery, Park Hospital, Leipzig, Germany
,
Andrej Schmidt
3   Division of Interventional Angiology, University Hospital, Leipzig, Germany
,
Friedrich-Wilhelm Mohr
1   Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany
,
Michael A. Borger
1   Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

14 July 2016

12 March 2017

Publication Date:
24 September 2018 (online)

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Abstract

A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion. The patient was monitored closely over time.

Key Words

TEVAR - Aortoesophageal fistula - Graft infection
 

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