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Ann Thorac Surg 1989;47:458-460
© 1989 The Society of Thoracic Surgeons

Articles

Left subclavian afterioesophageal fistula induced by a foreign body

C.K. Mok, MB, BS*, C.S.W. Chiu, MB, BS, H.H.C. Cheung, MB, BS

Division of Cardiothoracic Surgery, Department of Surgery, University of Hong Kong, Grantham Hospital, Hong Kong

Accepted for publication September 21, 1988.

* Address reprint requests to Dr Mok, The Grantham Hospital, 125 Wong Chuk Hang Road, Hong Kong.

A left subclavian arterioesophageal fistula was diagnosed in a 35-year-old man at exploratory thoracotomy far suspected aortoesophageal fistula. After successful closure of the arterial fistula the patient developed a mediastinal abscess and esophagopleural fistula. The latter was successfully managed by retrosternal jejunal esophagoplasty followed by excision of the thoracic esophagus. This report documents a case of left subclavian arterioesophageal fistula and illustrates the importance of early diagnosis and surgical intervention of arterial perforation secondary to a foreign body in the esophagus.




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