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Ann Thorac Surg 1992;54:155-156
© 1992 The Society of Thoracic Surgeons

Articles

Aortoesophageal fistula induced by foreign bodies

Ming-Ho Wu, MD*, Wu-Wei Lai, MD

Division of Chest Surgery, Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan, Republic of China

Accepted for publication October 21, 1991.

* Address reprint requests to Dr Wu, Division of Thoracic Surgery, Department of Surgery, National Cheng-kung University Hospital, No 138, Shen Li Road, Tainan, Taiwan, Republic of China.

Two patients with aortoesophageal fistula induced by foreign bodies were surgically treated during a period of 10 years. The first patient was surgically treated through a right thoracotomy, which failed on account of exsanguination. In the second patient, a Sengstaken-Blakemore tube was inserted for esophageal tamponade. The aorta was successfully repaired through a left thoracotomy after occlusion of the esophagus and the aorta above and below the fistula. Therefore, we recommend preoperative esophageal tamponade and occlusion of the esophagus and the aorta through a left thoracotomy as the most successful approach.




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