Aortobronchial fistula after esophagectomy for esophageal cancer-A very rare complication

作者：Li Hsien Pin; Hsieh Chong Chao; Chiang Hung Hsing; Wang Tung Heng; Lee Jui Ying; Huang Meei Feng; Chou Shah Hwa^*

来源：The Kaohsiung Journal of Medical Sciences, 2011, 27(6): 247-250.

DOI：10.1016/j.kjms.2010.09.005

• Aorto bronchial fistula
• Esophagectomy
• Hemoptysis

Most aorto-respiratory fistulas are related to aortic pathology or procedures, but fistula formation after esophageal resection has never been reported in the literature. We are now reporting a case of hemoptysis that occurred after esophagectomy for locally advanced esophageal cancer. Aortobronchial fistula was detected by computed tomography scan. The patient was finally saved by emergency surgery-Dacron graft interposition of the descending thoracic aorta. There was no malignant cell in the postoperative specimen of the fistula. The erosion of the ligaclips (Johnson a Johnson) might be responsible for the aortobronchial fistula formation. For esophageal surgery, avoidance of trauma to aortic wall and careful using of ligaclips are important to circumvent this complication.

• 出版日期2011-6