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Ann Thorac Surg 1991;52:1168-1170
© 1991 The Society of Thoracic Surgeons


Articles

Successful management of aortoesophageal fistula due to thoracic aortic aneurysm

Ulrich O. von Oppell, FCS(SA)*, Mark de Groot, FRCS(C), Casper Thierfelder, MD, Peter Zilla, MD, PhD, John A. Odell, FRCS(Ed)

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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