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Ann Thorac Surg 1991;52:1168-1170
© 1991 The Society of Thoracic Surgeons
Department of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa
Accepted for publication March 27, 1991.
* Address reprint requests to Dr von Oppell, Department of Cardiothoracic Surgery, University of Cape Town Medical School, Observatory 7925, Cape Town, South Africa.
Aortoesophageal fistulas due to atherosclerotic thoracic aneurysms are usually fatal, with few reported survivors. We report an aortoesophageal fistula managed successfully in one stage by resection and replacement of the aortic aneurysm with a prosthetic graft and total esophageal resection. Immediate esophageal reconstruction was attained using orthotopic gastric interposition with omentopexy around the prosthetic aortic graft.
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