Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.483 |
Resumo: | INTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, followed by drainage gastrostomy and creation of a feeding jejunostomy. Two-weeks later, the patient underwent stent graft explantation, extensive debridement, in situ aortic reconstruction with interposition of a silver and Triclosan impregnated Dacron graft, esophagectomy, eosophagogastrostomy and intercostal muscle flap plasty. After 4 years of follow-up, the patient remains clinically well and free from recurrence. CONCLUSION: The diagnosis of AEF requires a high index of suspicion. A prompt and aggressive multidisciplinary approach is necessary to obtain long-term survival and freedom from recurrence. |
id |
RCAP_2cb1b493a34df7054dab04dda0bf8333 |
---|---|
oai_identifier_str |
oai:ojs.acvjournal.com:article/483 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implicationsAortic aneurysmendovasculargraft infectionaortoesophageal fistulathoracic aortaINTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, followed by drainage gastrostomy and creation of a feeding jejunostomy. Two-weeks later, the patient underwent stent graft explantation, extensive debridement, in situ aortic reconstruction with interposition of a silver and Triclosan impregnated Dacron graft, esophagectomy, eosophagogastrostomy and intercostal muscle flap plasty. After 4 years of follow-up, the patient remains clinically well and free from recurrence. CONCLUSION: The diagnosis of AEF requires a high index of suspicion. A prompt and aggressive multidisciplinary approach is necessary to obtain long-term survival and freedom from recurrence.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2023-03-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.483https://doi.org/10.48750/acv.483Angiologia e Cirurgia Vascular; Vol. 18 No. 4 (2022): December; 245-248Angiologia e Cirurgia Vascular; Vol. 18 N.º 4 (2022): December; 245-2482183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/483http://acvjournal.com/index.php/acv/article/view/483/318Copyright (c) 2023 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessHenrique, AlbertoQuintas, AnitaAragão Morais, JoséOliveira Martins, FranciscoGarcia, RitaBento, RitaPais, FábioFerreira, Maria Emília2023-03-24T10:30:12Zoai:ojs.acvjournal.com:article/483Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:46:05.933864Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
title |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
spellingShingle |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications Henrique, Alberto Aortic aneurysm endovascular graft infection aortoesophageal fistula thoracic aorta |
title_short |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
title_full |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
title_fullStr |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
title_full_unstemmed |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
title_sort |
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approach and its prognostic implications |
author |
Henrique, Alberto |
author_facet |
Henrique, Alberto Quintas, Anita Aragão Morais, José Oliveira Martins, Francisco Garcia, Rita Bento, Rita Pais, Fábio Ferreira, Maria Emília |
author_role |
author |
author2 |
Quintas, Anita Aragão Morais, José Oliveira Martins, Francisco Garcia, Rita Bento, Rita Pais, Fábio Ferreira, Maria Emília |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Henrique, Alberto Quintas, Anita Aragão Morais, José Oliveira Martins, Francisco Garcia, Rita Bento, Rita Pais, Fábio Ferreira, Maria Emília |
dc.subject.por.fl_str_mv |
Aortic aneurysm endovascular graft infection aortoesophageal fistula thoracic aorta |
topic |
Aortic aneurysm endovascular graft infection aortoesophageal fistula thoracic aorta |
description |
INTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, followed by drainage gastrostomy and creation of a feeding jejunostomy. Two-weeks later, the patient underwent stent graft explantation, extensive debridement, in situ aortic reconstruction with interposition of a silver and Triclosan impregnated Dacron graft, esophagectomy, eosophagogastrostomy and intercostal muscle flap plasty. After 4 years of follow-up, the patient remains clinically well and free from recurrence. CONCLUSION: The diagnosis of AEF requires a high index of suspicion. A prompt and aggressive multidisciplinary approach is necessary to obtain long-term survival and freedom from recurrence. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.483 https://doi.org/10.48750/acv.483 |
url |
https://doi.org/10.48750/acv.483 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/483 http://acvjournal.com/index.php/acv/article/view/483/318 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 18 No. 4 (2022): December; 245-248 Angiologia e Cirurgia Vascular; Vol. 18 N.º 4 (2022): December; 245-248 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799131544394137600 |