Rana O. Afifi, MD, Harith H. Mushtaq, MD, Harleen K

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Successful Multistaged Surgical Management of Secondary Aortoesophageal Fistula With Graft Infection Rana O. Afifi, MD, Harith H. Mushtaq, MD, Harleen K. Sandhu, MD, MPH, Kamal Khalil, MD, Hazim J. Safi, MD, FACS, Anthony L. Estrera, MD, FACS The Annals of Thoracic Surgery Volume 101, Issue 6, Pages e203-e205 (June 2016) DOI: 10.1016/j.athoracsur.2015.10.099 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Axial view of thoracic computed tomography angiography of an infected descending thoracic aortic graft demonstrating air pockets in the left hemothorax (red arrow). (B) Sagittal reconstruction of the same computed tomography angiography. (C) Axial view of thoracic computed tomography of an infected thoracic aortic endograft (red arrow). The Annals of Thoracic Surgery 2016 101, e203-e205DOI: (10.1016/j.athoracsur.2015.10.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A prosthetic graft bypass by means of a median sternotomy from the ascending aorta (blue arrow) to the abdominal aorta. The Annals of Thoracic Surgery 2016 101, e203-e205DOI: (10.1016/j.athoracsur.2015.10.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Latissimus dorsi muscle pedicled flap. The Annals of Thoracic Surgery 2016 101, e203-e205DOI: (10.1016/j.athoracsur.2015.10.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions