Skip to main content

Advertisement

SpringerLink
Log in

Delayed simultaneous aortoesophageal and aortobronchial fistulae post thoracic endovascular aortic repair (TEVAR)

  • Case report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

An Invited Commentary to this article was published on 12 October 2022

Abstract

Aortoesophageal and aortobronchial fistulae after thoracic endovascular aortic repair (TEVAR) are rare and life-threatening conditions. No clear guidance exists in the literature for the optimal therapeutic management of such cases. This case demonstrates a delayed simultaneous aortoesophageal and aortobronchial fistulae treated conservatively with culture-guided antibiotic therapy and combined endovascular management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Chiesa R, Melissano G, Marone EM, Marrocco-Trischitta MM, Kahlberg A. Aorto-oesophageal and aortobronchial fistulae following thoracic endovascular aortic repair: a national survey. Eur J Vasc Endovasc Surg. 2010;39:273–9. https://doi.org/10.1016/j.ejvs.2009.12.007.

    Article  CAS  Google Scholar 

  2. Czerny M, Eggebrecht H, Sodeck G, et al. New insights regarding the incidence, presentation and treatment options of aorto-oesophageal fistulation after thoracic endovascular aortic repair: the European registry of endovascular aortic repair complications. Eur J Cardiothorac Surg. 2014;45:452–7. https://doi.org/10.1093/ejcts/ezt393.

    Article  Google Scholar 

  3. Jonker FHW, Heijmen R, Trimarchi S, Verhagen HJM, Moll FL, Muhs BE. Acute management of aortobronchial and aortoesophageal fistulas using thoracic endovascular aortic repair. J Vasc Surg. 2009;50:999–1004. https://doi.org/10.1016/j.jvs.2009.04.043.

    Article  Google Scholar 

  4. Watanabe M, Sato M, Fukuchi M, Kato H, Matsubara H. Treatment of aortoesophageal fistula developed after thoracic endovascular aortic repair: a questionnaire survey study. Esophagus. 2020;17:81–6. https://doi.org/10.1007/s10388-019-00683-y.

    Article  Google Scholar 

  5. Sladojevic M, Bjelovic M, Ilic N, et al. Open surgical treatment of secondary aortoesophageal and aortobronchial fistula after thoracic endovascular aortic repair and esophagocoloplasty in a second procedure. Ann Vasc Surg. 2017;44:417.e11-417.e16. https://doi.org/10.1016/j.avsg.2017.01.019.

    Article  Google Scholar 

  6. Tao M, Shlomovitz E, Darling G, Roche-Nagle G. Secondary aorto-esophageal fistula after thoracic aortic aneurysm endovascular repair treated by covered esophageal stenting. World J Clin Cases. 2016;4:233–7. https://doi.org/10.12998/wjcc.v4.i8.233.

    Article  Google Scholar 

  7. Luehr M, Etz CD, Nozdrzykowski M, et al. Emergency open surgery for aorto-oesophageal and aorto-bronchial fistulae after thoracic endovascular aortic repair: a single-centre experience. Eur J Cardiothorac Surg. 2015;47:374–82. https://doi.org/10.1093/ejcts/ezu147.

    Article  Google Scholar 

  8. Sugiyama K, Iwahashi T, Koizumi N, Nishibe T, Fujiyoshi T, Ogino H. Surgical treatment for secondary aortoesophageal fistula. J Cardiothorac Surg. 2020;15:251. https://doi.org/10.1186/s13019-020-01293-x.

    Article  Google Scholar 

  9. Eggebrecht H, Mehta RH, Dechene A, et al. Aortoesophageal fistula after thoracic aortic stent-graft placement. A rare but catastrophic complication of a novel emerging technique. JACC Cardiovasc Interv. 2009;2:570–6. https://doi.org/10.1016/j.jcin.2009.03.010.

  10. Ochoa Chaar CI, Zafar MA, Velasquez C, Saeyeldin A, Elefteriades JA. Complex two-stage open surgical repair of an aortoesophageal fistula after thoracic endovascular aortic repair. J Vasc Surg Cases Innov Tech. 2019;5:261–3. https://doi.org/10.1016/j.jvscit.2019.02.011.

Download references

Funding

None.

Author information

Authors and Affiliations

  1. Cardiovascular and Thoracic Surgery Department, Evangelismos General Hospital, Ipsilantou 45-47, Attiki, 10676, Athens, Greece

    Kate Tabaku, Nikolaos Schizas, Vasilis Patris & Mihalis Argiriou

Authors
  1. Kate Tabaku
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nikolaos Schizas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vasilis Patris
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mihalis Argiriou
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kate Tabaku.

Ethics declarations

Ethical committee approval

Ethical approval was granted from the scientific council of Evangelismos General Hospital according to the bioethical laws in Greece.

Informed consent

Informed consent of the patient was also granted with protection of personal data.

Statement of human and animal rights

All human and animal rights were preserved according to the ethical standards laid down in the 1975 declaration of Helsinki and its later amendments, as well as national regulations.

Conflict of interest

No conflict of interest declared and no funding received. No affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tabaku, K., Schizas, N., Patris, V. et al. Delayed simultaneous aortoesophageal and aortobronchial fistulae post thoracic endovascular aortic repair (TEVAR). Indian J Thorac Cardiovasc Surg 39, 53–56 (2023). https://doi.org/10.1007/s12055-022-01422-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-022-01422-2

Keywords

Search

Navigation