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Ann Thorac Surg 2004;77:2217-2218
© 2004 The Society of Thoracic Surgeons

Case report

Diagnosis and management of aortoesophageal fistula caused by a foreign body

Giuseppe S. Sica, MD, PhD*a, Veronica Djapardy, MDa, Stephen Westaby, MD, PhDb, Nicholas D. Maynard, MS, FRCSa

a Department of Surgery, Oxford, United Kingdom
b Cardiothoracic Unit, The John Radcliffe Hospital, Oxford, United Kingdom

Accepted for publication June 2, 2003.

* Address reprint requests to Dr Sica, Department of Upper GI Surgery, Level 2, The John Radcliffe Hospital, Headley Way, Headington Oxford OX3 9DU, UK
e-mail: giuseppesica{at}libero.it

Aortoesophageal fistula is a rare cause of gastrointestinal hemorrhage often resulting in mortality. A case of aortoesophageal fistula caused by a swallowed fish bone leading to respiratory arrest is reported. The clinical presentation was unusual. The successful treatment required the use of hypothermic circulatory arrest.




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