Publication Date

1-1-2011

Journal

The Texas Heart Journal

PMID

22199426

Publication Date(s)

2011

Language

English

PMCID

PMC3233331

PubMedCentral® Posted Date

2011

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Aorta, Thoracic, Aortic Diseases, Aortography, Blood Vessel Prosthesis Implantation, Bronchial Fistula, Endovascular Procedures, Esophageal Fistula, Female, Humans, Italy, Male, Middle Aged, Surgical Flaps, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Vascular Fistula

Abstract

Aortoesophageal fistulae (AEF) and aortobronchial fistulae (ABF) are uncommon, but are in general fatal if left untreated. Conventional treatment requires surgical replacement of the thoracic aorta, along with several adjunctive procedures to repair the esophageal or tracheobronchial lesion.The mortality rates associated with open surgery reach 61% in cases of primary fistula and 78% in secondary fistula.

Thoracic endovascular aortic repair (TEVAR) has been proposed as an alternative strategy to surgical management.Although less invasive, this technique has important limitations in treating AEF and ABF, the chief of which is the high risk of graft contamination. Moreover, we still lack sufficient data on early and late outcomes.

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