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Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury
Journal of Trauma and Injury 1999;():-
Published online September 4, 2019
© 2019 The Korean Society of Trauma.

Masakazu Nitta, M.D., Ph.D., Taro Tamakawa, M.D., Natsuo Kamimura, M.D., Tadayuki Honda, M.D., Ph.D., Hiroshi Endoh, M.D., Ph.D.

Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, Japan
Correspondence to: Masakazu Nitta, M.D., Ph.D. Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, 754 Asahimachi-Dori, Chuo-ku, Niigata 951-8520, Japan, Tel: +81-25-227-2338, Fax: +81-25-227-0791, E-mail: masakazunitta@gmail.com
Received July 26, 2019; Revised August 25, 2019; Accepted August 25, 2019.
Abstract
Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR.
Keywords : Esophageal fistula; Aortic rupture; Frailty; Endovascular procedures


June 2019, 32 (2)
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