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Ann Thorac Surg 1994;58:557-559
© 1994 The Society of Thoracic Surgeons

Articles

Staged repair using omentum for posttraumatic aortoesophageal fistula

Nan Wang, MD*, Steven R. Sparks, MD, Leonard L. Bailey, MB

Division of Cardiothoracic Surgery, Department of Surgery, Loma Linda University Medical Center, Loma Linda, California USA

Accepted for publication November 22, 1993.

* Address reprint requests to Dr Wang, Department of Surgery, Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, 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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