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Asian Cardiovasc Thorac Ann · Nov 2017
Case ReportsEmergency aortic stent-graft treatment for malignant aortoesophageal fistula.
- Pak Chiu Wong, Yiu Che Chan, Yuk Law, and Stephen Wing Keung Cheng.
- Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.
- Asian Cardiovasc Thorac Ann. 2017 Nov 1; 25 (9): 649-652.
AbstractTwo patients with locally advanced squamous cell carcinoma of the mid-esophagus, with esophageal stents in situ, suffered sudden onset of massive hematemesis and hemodynamic instability due to an aortoesophageal fistula. Although their esophageal neoplasms were deemed inoperable and treatment was palliative, the bleeding was successfully stopped with an endovascular aortic stent-graft. They both remained stable with no septic or hemorrhagic complications, and survived for 14 and 16 weeks after the operation. We emphasize that even if esophageal tumors are locally advanced, emergency endovascular management of aortoesophageal fistula is worthwhile for prolongation of survival.
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