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Esophageal and Bronchial Perforations After Thoracic Aortic Aneurysm Replacement: Successful Repair with Covered Metallic Stents

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Abstract

Esophageal and bronchial perforations are rare but potentially fatal complications of descending thoracic aortic aneurysm replacement. This report presents a 67-year-old man with both esophageal and bronchial perforations that occurred after descending thoracic aortic aneurysm replacement. Surgical repair was performed, but the lesions perforated again. Two covered metallic stent prostheses introduced into both the esophagus and left main bronchus led to the improvement of mediastinitis by sealing the perforations. To our knowledge, this is the first report describing successful treatment for esophageal and bronchial perforations using covered metallic stents. Placement of covered metallic stents can be an option for the treatment of patients with esophagorespiratory tract perforations, especially those who are in critical condition.

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Authors and Affiliations

  1. Department of Radiology, Omura Municipal Hospital, Kogashima-chou 133–22, Omura 856–0817, Japan

    Eijun Sueyoshi

  2. Department of Cardiovascular Surgery, Omura Municipal Hospital, Kogashima-chou 133–22, Omura 856–0817, Japan

    Tatsuya Imada

  3. Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852–8501, Japan

    Eijun Sueyoshi, Ichiro Sakamoto, Masataka Uetani & Kuniaki Hayashi

Authors
  1. Eijun Sueyoshi
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  2. Tatsuya Imada
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  3. Ichiro Sakamoto
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  4. Masataka Uetani
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  5. Kuniaki Hayashi
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Sueyoshi, E., Imada, T., Sakamoto, I. et al. Esophageal and Bronchial Perforations After Thoracic Aortic Aneurysm Replacement: Successful Repair with Covered Metallic Stents . CVIR 26, 499–501 (2003). https://doi.org/10.1007/s00270-003-0051-8

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  • DOI: https://doi.org/10.1007/s00270-003-0051-8

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