• Ann Vasc Surg · May 2003

    Review Case Reports

    Arterioesophageal fistula: a rare complication of retroesophageal subclavian arteries.

    • Patrick Feugier, Laurent Lemoine, Laurent Gruner, Marc Bertin-Maghit, Bernard Rousselet, and Jean-Michel Chevalier.
    • Service de Chirurgie Vasculaire, Hôpital Edouard Herriot, Lyon, France. patrick.feugier@wandoo.fr
    • Ann Vasc Surg. 2003 May 1; 17 (3): 302-5.

    AbstractFormation of a fistula between a retroesophageal subclavian artery and the esophagus is a rare cause of hematemesis that is usually fatal. Several etiologies have been described. The purpose of this report is to describe a case involving successful surgical repair of an arterioesophageal fistula induced by prolonged nasogastric intubation. A preoperative CT scan under emergency conditions allowed tentative diagnosis. Arteriography in the operating room confirmed the presence of a fistula and also allowed temporary hemostasis by tamponade. On the basis of a review of the literature, this case demonstrates the importance of screening patients requiring prolonged nasogastric intubation to rule out the possibility of an aberrant aortic arch system.

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