Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm
Mycotic aneurysms constitute a small proportion of aortic aneurysms. Endovascular repair of mycotic aneurysms has been applied with good short-term and midterm results. However, the uncommon aortoenteric fistula formation remains a potentially fatal complication when repairing such infective aneurys...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/649592 |
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| author | Elizabeth Gavens Zehra Zaidi Wissam Al-Jundi Palepu Kumar |
| author_facet | Elizabeth Gavens Zehra Zaidi Wissam Al-Jundi Palepu Kumar |
| author_sort | Elizabeth Gavens |
| collection | DOAJ |
| description | Mycotic aneurysms constitute a small proportion of aortic aneurysms. Endovascular repair of mycotic aneurysms has been applied with good short-term and midterm results. However, the uncommon aortoenteric fistula formation remains a potentially fatal complication when repairing such infective aneurysms. We present the case of an 80-year-old woman with thoracic and abdominal aortic mycotic aneurysms, which were successfully treated with endografting. However, the patient presented 3 months later with upper gastrointestinal bleeding secondary to erosion of the thoracic graft into the oesophagus. The patient was treated conservatively due to the high risk of surgical repair. There is currently little exposure to the management of mycotic aortic aneurysms. If suspected, imaging of the entire vasculature will aid initial diagnosis and highlight the extent of the disease process, allowing for efficient management. Aortic endografting for mycotic thoracic aneurysms is a high-risk procedure yet is still an appropriate intervention. Aortoenteric fistulae pose a rare but severe complication of aortic endografting in this setting. |
| format | Article |
| id | doaj-art-a7c3c81e6bbe4923992fa3dadf02afb5 |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-a7c3c81e6bbe4923992fa3dadf02afb52025-02-03T06:06:50ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322011-01-01201110.1155/2011/649592649592Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic AneurysmElizabeth Gavens0Zehra Zaidi1Wissam Al-Jundi2Palepu Kumar3Department of Vascular Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, Derbyshire S44 5BL, UKDepartment of Vascular Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, Derbyshire S44 5BL, UKDepartment of Vascular Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, Derbyshire S44 5BL, UKDepartment of Vascular Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, Derbyshire S44 5BL, UKMycotic aneurysms constitute a small proportion of aortic aneurysms. Endovascular repair of mycotic aneurysms has been applied with good short-term and midterm results. However, the uncommon aortoenteric fistula formation remains a potentially fatal complication when repairing such infective aneurysms. We present the case of an 80-year-old woman with thoracic and abdominal aortic mycotic aneurysms, which were successfully treated with endografting. However, the patient presented 3 months later with upper gastrointestinal bleeding secondary to erosion of the thoracic graft into the oesophagus. The patient was treated conservatively due to the high risk of surgical repair. There is currently little exposure to the management of mycotic aortic aneurysms. If suspected, imaging of the entire vasculature will aid initial diagnosis and highlight the extent of the disease process, allowing for efficient management. Aortic endografting for mycotic thoracic aneurysms is a high-risk procedure yet is still an appropriate intervention. Aortoenteric fistulae pose a rare but severe complication of aortic endografting in this setting.http://dx.doi.org/10.1155/2011/649592 |
| spellingShingle | Elizabeth Gavens Zehra Zaidi Wissam Al-Jundi Palepu Kumar Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm International Journal of Vascular Medicine |
| title | Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm |
| title_full | Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm |
| title_fullStr | Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm |
| title_full_unstemmed | Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm |
| title_short | Aortoesophageal Fistula after Endovascular Aortic Aneurysm Repair of a Mycotic Thoracic Aneurysm |
| title_sort | aortoesophageal fistula after endovascular aortic aneurysm repair of a mycotic thoracic aneurysm |
| url | http://dx.doi.org/10.1155/2011/649592 |
| work_keys_str_mv | AT elizabethgavens aortoesophagealfistulaafterendovascularaorticaneurysmrepairofamycoticthoracicaneurysm AT zehrazaidi aortoesophagealfistulaafterendovascularaorticaneurysmrepairofamycoticthoracicaneurysm AT wissamaljundi aortoesophagealfistulaafterendovascularaorticaneurysmrepairofamycoticthoracicaneurysm AT palepukumar aortoesophagealfistulaafterendovascularaorticaneurysmrepairofamycoticthoracicaneurysm |