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

Published byKerstin Lundberg Modified over 6 years ago

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Presentation on theme: "Successful management of concomitant aortoesophageal and aortotracheal fistulae secondary to a thoracic aortic aneurysm: Case report and review of literature "— Presentation transcript:

1 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 (December 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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