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Ann Thorac Surg 1998;66:936-938
© 1998 The Society of Thoracic Surgeons

Case Reports

Successful repair of aortoesophageal fistula secondary to traumatic pseudoaneurysm

Talat S. Chughtai, MDa, Nathan M. Sheiner, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, McGill University, Montreal, Canada

Accepted for publication March 23, 1998.

Address reprint requests to Dr Sheiner, Jewish General Hospital, 3755 Cote Ste-Catherine, Montreal, Canada H3T 1E2

There have previously been only rare reported survivors of an aortoesophageal fistula resulting from a traumatic pseudoaneurysm. We report a case of a young man with a dramatic presentation who was successfully managed by immediate operative repair. A prosthetic graft was sewn within the sac of the aneurysm, with the aneurysm wall being used to protect the graft, and the esophagus was resected. Staged reconstruction of the esophagus was subsequently performed successfully. The patient is now alive and well 2 years later.






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