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Ann Thorac Surg 2001;71:1363-1365
© 2001 The Society of Thoracic Surgeons

Case report

Mycotic arch aneurysm and aortoesophageal fistula in a patient with melioidosis

Manisha A. Patel, MDa, Joseph D. Schmoker, MDa, Peter L. Moses, MDb, Raza Anees, MDb, Robert D’Agostino, MDc

a Division of Cardiothoracic Surgery, Fletcher Allen Health Care and the University of Vermont, Burlington, Vermont, USA
b Division of Gastroenterology, Fletcher Allen Health Care and the University of Vermont, Burlington, Vermont, USA
c Division of Interventional Radiology, Fletcher Allen Health Care and the University of Vermont, Burlington, Vermont, USA

Accepted for publication May 24, 2000.

Address reprint requests to Dr Schmoker, Fletcher 4, 111 Colchester Ave, Burlington, VT 05401
e-mail: joseph.schmoker{at}vtmednet.org

Aortoesophageal fistula due to an aortic arch aneurysm is a rare entity with an extremely high mortality. There are few reports of successfully managed cases and even fewer of long term survival. We report a case of an aortoesophageal fistula resulting from a mycotic pseudoaneurysm of the distal aortic arch in a patient with melioidosis, its surgical management, and outcome.




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