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The Annals of Thoracic Surgery, Vol 52, 1168-1170, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Successful management of aortoesophageal fistula due to thoracic aortic aneurysm

UO von Oppell, M de Groot, C Thierfelder, P Zilla and JA Odell
Department of Cardiothoracic Surgery, University of 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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