Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Czerny, M; Zimpfer, D; Fleck, T; Gottardi, R; Cejna, M; Schoder, M; Lammer, J; Wolner, E; Grabenwoger, M; Mueller, MR.
Successful treatment of an aortoesophageal fistula after emergency endovascular thoracic aortic stent-graft placement.
Ann Thorac Surg. 2005; 80(3):1117-20
Doi: 10.1016/j.athoracsur.2004.02.136
(- Case Report)
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- Co-authors Med Uni Graz
- Zimpfer Daniel
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- Abstract:
- We report the case of a 57-year-old man who underwent emergency stent-graft placement in August 2003 due to a contained rupture of a distal descending aortic aneurysm. After 1 month the patient was readmitted with chest pain as well as swallowing disorders. A computed tomographic scan revealed a fistula between the distal esophagus and the excluded aneurysm sac. The patient was treated by an esophagectomy, a cervical esophagostomy, as well as a feeding gastrostomy. The infectious parietal thrombus was partially debrided and the aneurysm sac was filled with vancomycin. After 3 months continuity was reinstalled with a pedicled isoperistaltic transverse colonic conduit. The patient recovered uneventfully. At a 3 month follow-up, he showed no signs of infection. However, he is still being treated with antibiotic therapy of ciprofloxacin for a minimum of 1 year.
- Find related publications in this database (using NLM MeSH Indexing)
- Aortic Aneurysm, Thoracic - surgery
- Aortic Diseases - etiology, surgery
- Blood Vessel Prosthesis - administration & dosage
- Blood Vessel Prosthesis Implantation - adverse effects
- Esophageal Fistula - etiology, surgery
- Esophagectomy - administration & dosage
- Gastrostomy - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Rupture, Spontaneous - surgery
- Stents - administration & dosage
- Treatment Outcome - administration & dosage
- Vascular Fistula - etiology, surgery