Successful management of concomitant aortoesophageal and aortotracheal fistulae secondary to a thoracic aortic aneurysm: Case report and review of literature

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Successful management of concomitant aortoesophageal and aortotracheal fistulae secondary to a thoracic aortic aneurysm: Case report and review of literature Krishnan Raghavendran, MD, Gregory S. Cherr, MD, Peter F. Ford, MBBS, Paula G. Burkhard, MD, PhD, John Bell-Thomson, MD Journal of Vascular Surgery Volume 42, Issue 6, Pages 1218-1220 (December 2005) DOI: 10.1016/j.jvs.2005.07.029 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 PA view of the Chest X-ray demonstrating the aneurysm of the descending thoracic aorta. The sternal closure is from a previous CABG. Journal of Vascular Surgery 2005 42, 1218-1220DOI: (10.1016/j.jvs.2005.07.029) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative photograph detailing the aneurysm sac with esophageal communication. Esophageal mucosa was encountered once the clots were evacuated form the aneurysmal sac (block arrow). The esophagus was resected with construction of a proximal cervical esophagostomy and a feeding gastrostomy. Journal of Vascular Surgery 2005 42, 1218-1220DOI: (10.1016/j.jvs.2005.07.029) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 A gastric pull through was performed through a laparotomy and median sternotomy and the stomach was placed substernally with completion of a cervical esophago-gastric anastomosis. This procedure was performed 6 months after the initial operation. Journal of Vascular Surgery 2005 42, 1218-1220DOI: (10.1016/j.jvs.2005.07.029) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions