A Staged Surgical Treatment for Aortoesophageal Fistula in Esophageal Cancer
Soonchunhyang Medical Science
;
: 200-203, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-94561
ABSTRACT
An aortoesophageal fistula (AEF) is a rare and lethal disorder. However, aortic surgery is usually performed with extracorporeal circulation, and there is a high rate of surgical complications and mortality. This report describes a case of AEF caused by radiotherapy for esophageal cancer. A 59-year-old man was treated with preoperative chemoradiation, and developed a tracheoesophageal fistula (TEF) 3 months later (3 cycles of cisplatin and 5-fluorouracil). He complained of hemoptysis and hematemesis. Based on computed tomography and diagnostic endoscopic findings, he was diagnosed with an AEF and TEF, and initially underwent endovascular coiling, which failed. Because of bleeding, emergent thoracic endovascular aortic repair was performed. Esophageal resection and reconstruction were performed 45 days later to control mediastinal inflammation. The patient was followed up as an outpatient. He has had no recurrence of cancer or any further complications.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Radioterapia
/
Recidiva
/
Neoplasias Esofágicas
/
Hematemese
/
Mortalidade
/
Fístula Esofágica
/
Fístula Traqueoesofágica
/
Cisplatino
/
Circulação Extracorpórea
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Soonchunhyang Medical Science
Ano de publicação:
2016
Tipo de documento:
Artigo
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