Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair Diagnosed and Followed with Endoscopy

作者：Chiba Daisuke; Hanabata Norihiro; Araki Yasumitsu; Sawaya Manabu; Yoshimura Tetsuro; Aoki Masahiko; Shimoyama Tadashi^*; Fukuda Shinsaku

来源：Internal Medicine, 2013, 52(4): 451-455.

DOI：10.2169/internalmedicine.52.9139

• aortoesophageal fistula (AEF)
• thoracic endovascular aortic repair (TEVAR)
• endoscopy

A 70-year-old man reported dysphagia two months after undergoing thoracic endovascular aortic repair (TEVAR). An endoscopic examination revealed a fistula between the esophagus and the thoracic aortic aneurysm, and computed tomography (CT) showed that the thoracic aortic aneurysm had increased in size. The patient was diagnosed with an aortoesophageal fistula (AEF), and surgical replacement of the thoracic aorta was performed. AEFs are a rare but typically fatal complication after TEVAR. Physicians should consider a diagnosis of AEF and perform endoscopic examinations and CT in patients who undergo TEVAR and subsequently complain of dysphagia.

• 出版日期2013