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Ann Thorac Surg 2002;73:637-639
© 2002 The Society of Thoracic Surgeons

Case report

Successful repair of an aortoesophageal fistula with aneurysm from esophageal diverticulum

Fuyuhiko Yasuda, MDa, Takatsugu Shimono, MD*a, Hitoshi Tonouchi, MDb, Hideto Shimpo, MDa, Isao Yada, MDa

a Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan
b The Second Department of Surgery, Mie University School of Medicine, Mie, Japan

Accepted for publication March 27, 2001.

* Address reprint requests to Dr Shimono, Division of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514, Japan
e-mail: simono-t{at}clin.medic.mie-u.ac.jp

Aortoesophageal fistula is a rare, frequently fatal, cause of upper gastrointestinal bleeding, and there are few reported survivors of it. We report a successful surgical case of aortoesophageal fistula associated with an infective thoracic aortic aneurysm. The patient had been diagnosed as having an esophageal diverticulum 8 months before admission. The aortoesophageal fistula was completely resected, followed by esophagojejunum anastomosis and patch closure for the entry of the aneurysm and omental coverage to the wall of the descending aorta in one stage. In this case, esophageal diverticulum was diagnosed before the development of an aortoesophageal fistula associated with an aneurysm.




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