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Radiation therapy-induced aortoesophageal fistula: a case report and review of literature.

Parikh MP, Sherid M, Panginikkod S, Rawal HA, Gopalakrishnan V - Gastroenterol Rep (Oxf) (2014)

Bottom Line: Aortoesophageal fistula (AEF) is a rare cause of massive upper gastrointestinal hemorrhage.It is a catastrophic condition which requires rapid implementation of resuscitative measures, broad-spectrum antibiotics and surgical or endovascular intervention.However initial TEVAR should be followed up with a more definitive surgical repair of the aorta and the esophagus, to lower the mortality rate and achieve better outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Presence Saint Francis Hospital, Evanston, Illinois, USA malavparikh88@yaho.com.

No MeSH data available.


Related in: MedlinePlus

Follow-up chest X-ray after repair of aorta with transthoracic endovascular stent graft.
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gou081-F4: Follow-up chest X-ray after repair of aorta with transthoracic endovascular stent graft.

Mentions: Based on this information, AEF was suspected and a CT angiogram of the chest and abdomen was obtained, which showed out-pouching of the intravenous contrast within the descending thoracic aorta, directed antero-medially towards the esophagus, and marked mural thickening of the adjacent esophagus with extra luminal foci of air between the esophagus and the aorta (Figures 1–3). Given the life-threatening nature of the disease and the patient's worsening clinical status, AEF was repaired with a thoracic endovascular stent graft system (Figure 4) and the patient was started on broad-spectrum antibiotics. He recovered uneventfully and esophageal stent placement was planned for a later date.Figure 1.


Radiation therapy-induced aortoesophageal fistula: a case report and review of literature.

Parikh MP, Sherid M, Panginikkod S, Rawal HA, Gopalakrishnan V - Gastroenterol Rep (Oxf) (2014)

Follow-up chest X-ray after repair of aorta with transthoracic endovascular stent graft.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4863184&req=5

gou081-F4: Follow-up chest X-ray after repair of aorta with transthoracic endovascular stent graft.
Mentions: Based on this information, AEF was suspected and a CT angiogram of the chest and abdomen was obtained, which showed out-pouching of the intravenous contrast within the descending thoracic aorta, directed antero-medially towards the esophagus, and marked mural thickening of the adjacent esophagus with extra luminal foci of air between the esophagus and the aorta (Figures 1–3). Given the life-threatening nature of the disease and the patient's worsening clinical status, AEF was repaired with a thoracic endovascular stent graft system (Figure 4) and the patient was started on broad-spectrum antibiotics. He recovered uneventfully and esophageal stent placement was planned for a later date.Figure 1.

Bottom Line: Aortoesophageal fistula (AEF) is a rare cause of massive upper gastrointestinal hemorrhage.It is a catastrophic condition which requires rapid implementation of resuscitative measures, broad-spectrum antibiotics and surgical or endovascular intervention.However initial TEVAR should be followed up with a more definitive surgical repair of the aorta and the esophagus, to lower the mortality rate and achieve better outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Presence Saint Francis Hospital, Evanston, Illinois, USA malavparikh88@yaho.com.

No MeSH data available.


Related in: MedlinePlus