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Ann Thorac Surg 1995;60:191-192
© 1995 The Society of Thoracic Surgeons

Case Reports

Aortoesophageal Fistula After Reconstruction of the Thoracic Spine

Neil R. Floch, MD, James C. Harvey, MD, Edward J. Beattie, Jr, MD

Department of Surgery, Beth Israel Medical Center, New York, New York

Accepted for publication November 28, 1994.

Aortoesophageal fistula is a rare complication after neurosurgical repair of the thoracic spine. We report an instance of a lethal aortoesophageal fistula caused by a pseudoaneurysm that developed after long contact between the prosthetic material from a spinal reconstruction procedure and the thoracic aorta. Pathologic examination showed that the mesh formed the roof of the pseudoaneurysm and was the most probable cause of the lesion.






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