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Michael J. Reardon
Robert J. Brewer
Scott A. LeMaire
John C. Baldwin
Hazim J. Safi
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Ann Thorac Surg 2000;69:967-970
© 2000 The Society of Thoracic Surgeons

Current Review

Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm

Michael J. Reardon, MDa, Robert J. Brewer, MDa, Scott A. LeMaire, MDa, John C. Baldwin, MDa, Hazim J. Safi, MDa

a Department of Surgery, Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA

Address reprint requests to Dr Reardon, Department of Surgery, Baylor College of Medicine, 6560 Fannin, Suite 1619, Houston, TX 77030
e-mail: reardonm{at}bcm.tmc.edu

Aortoesophageal fistula, secondary to thoracic aortic aneurysm, is an uncommon cause of gastrointestinal bleeding that is uniformly fatal without surgical intervention. These may be primary fistulas, in cases of thoracic aortic aneurysm without previous repair, or secondary fistulas occurring after surgical repair of thoracic aortic aneurysm. Surgical treatment has been successful in a small number of cases of primary aortoesophageal fistula, secondary to thoracic aortic aneurysm, but techniques used have varied. We report a successful repair of primary aortoesophageal fistula, secondary to descending thoracic aortic aneurysm, and review the evolution of management since the three previously reported successful repairs at our institution.




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