Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report

  • Gonçalo Queiroz de Sousa Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal
  • Ruy Fernandes e Fernandes Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal
  • Luís Mendes Pedro Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal
  • Pedro Garrido Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal
  • Luís Silvestre Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal
  • Paulo Costa Clínica Universitária de Cirurgia 1, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Portugal
  • José Fernandes e Fernandes Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisboa, Portugal

Abstract

Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.

Published
Dec 16, 2016
How to Cite
QUEIROZ DE SOUSA, Gonçalo et al. Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report. Angiologia e Cirurgia Vascular, [S.l.], v. 12, n. 3, p. 214-217, dec. 2016. ISSN 2183-0096. Available at: <http://acvjournal.com/index.php/acv/article/view/11>. Date accessed: 29 june 2017.
Section
Clinical Case