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The Annals of Thoracic Surgery, Vol 58, 557-559, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Staged repair using omentum for posttraumatic aortoesophageal fistula

N Wang, SR Sparks and LL Bailey
Department of Surgery, Loma Linda University Medical Center, CA 92354.

Aortoesophageal fistulas from traumatic thoracic aortic pseudoaneurysms are almost uniformly fatal. We report a case of a young woman who nearly exsanguinated soon after diagnosis. Immediate operative intervention consisted of prosthetic graft replacement of the pseudoaneurysm and pleural patch coverage. Definitive treatment of the esophageal perforation was necessary later for mediastinal sepsis. Primary repair of the esophagus accompanied by mobilization of the omentum into the space between the esophageal closure and the prosthetic graft led to a successful outcome.


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 Ann. Thorac. Surg.Home page
T. S. Chughtai and N. M. Sheiner
Successful repair of aortoesophageal fistula secondary to traumatic pseudoaneurysm
Ann. Thorac. Surg., September 1, 1998; 66(3): 936 - 938.
[Abstract] [Full Text] [PDF]


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Copyright © 1994 by The Society of Thoracic Surgeons.