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The Annals of Thoracic Surgery, Vol 54, 155-156, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Aortoesophageal fistula induced by foreign bodies

MH Wu and WW Lai
Department of Surgery, National Cheng-Kung University Hospital, 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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