We present a patient with aortoesophageal fistula that occurred years after an acute type B aortic dissection that was treated medically. This patient developed aneurysmal dilatation of the chronically dissected aorta, which finally eroded into the esophagus. Endovascular management with the placement of a stent graft was performed, but the patient ultimately died of multiorgan failure and possible myocardial infarction.
ReardonMJ, BrewerRJ, LeMaireSA, BaldwinJC, SafiH. Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm. Ann Thorac Surg2000;69:967–70
2.
ContiniS, CorrenteV, NerviG, FranzeA, ScarpignatoC. Dysphagia aortica: a neglected symptom of aortoesophageal fistula. Dig Liver Dis2006;38:51–4
3.
ProkakisC, KoletsisE, ApostolakesE, DedeiliasP, DougenisD. Aortoesophageal fistulas due to thoracic aorta aneurysm: surgical versus endovascular repair. Is there a role for combined aortic management?Med Sci Monit2008;14:RA48–54
4.
CarterR, MulderGA, SnyderFNJr, BrewerLAIII. Aortoesophageal fistula. Am J Surg1978;136:26–30
da SilvaES, TozziFL, OtochiJP, de TolosaEM, NevesCR, FortesF. Aortoesophageal fistula caused by aneurysm of the thoracic aorta: successful surgical treatment, case report and literature review. J Vasc Surg1999;30:1150–7
8.
BlountKF, HagspielKD. Aortic diameter, true lumen and false lumen growth rates in chronic type B aortic dissection. Am J Roentgenol2009;192:W222–9
9.
ShimizuH, UedaT, KashimaI, Surgical treatment for a ruptured thoracic aortic aneurysm. Jpn J Thorac Cardiovasc Surg2001;49:62–6
10.
OnitsukaS, AkashiH, TayamaK, Long term outcome and prognostic predictors of medically treated acute type B aortic dissections. Ann Thorac Surg2004;78:1268–71
11.
KiefferE, ChicheL, GomesD. Aortoesophageal fistula: value of in situ aortic allograft replacement. Ann Surg2003;238:283–90
12.
SafiHJ, MillerCC, ReardonMJ, Operation for acute and chronic aortic dissection: recent outcome with regard to neurologic deficit and early death. Ann Thorac Surg1998;66:402–11
13.
MetzR, KimmingsAN, VerhagenHH, RinkesIH, van HillegersbergR. Aortoesophageal fistula successfully treated by endovascular stent-graft. Ann Thorac Surg2006;82:1117–9
14.
TopelI, StehrA, SteinbauerMG, PisoP, SchlittHJ, KasprzakPM. Surgical strategy in aortoesophageal fistulae. Ann Surg2007;246:853–9
15.
JonkerFH, SchlösserFJ, MollFL, Outcomes of thoracic endovascular aortic repair for aortobronchial and aortoesophageal fistulas. J Endovasc Ther2009;16:428–40
