Endovascular stent graft for aortoesophageal fistula caused by esophageal stent

摘要

A 71-year-old woman with lung cancer was admitted due to hemodynamic shock with massive hematemesis that was caused by an aortoesophageal fistula 3 months after implantation of an Ultra-flex esophageal stent. Computed tomography demonstrated an aortoesophageal fistula with an ulcer-like projection on the aortic arch where the esophageal stent touched, on axial and sagittal scans (Figure 1). We performed emergency endovascular aortic repair from zone 2, using a stent graft with simple coverage of the left subclavian artery via the right common iliac artery, through a right retro-peritoneal approach. The patient was well without hemostasis and could eat 2 weeks after aortic repair.