Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury
Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-3-172.pdf |
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| author | Masakazu Nitta Taro Tamakawa Natsuo Kamimura Tadayuki Honda Hiroshi Endoh |
| author_facet | Masakazu Nitta Taro Tamakawa Natsuo Kamimura Tadayuki Honda Hiroshi Endoh |
| author_sort | Masakazu Nitta |
| collection | DOAJ |
| description | Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR. |
| format | Article |
| id | doaj-art-7d6971164ba94a3dbf3d6a93232b6575 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-7d6971164ba94a3dbf3d6a93232b65752025-01-06T01:31:25ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-09-0132317217510.20408/jti.2019.023910Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic InjuryMasakazu Nitta0Taro Tamakawa1Natsuo Kamimura2Tadayuki Honda3Hiroshi Endoh4Advanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, JapanAdvanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, JapanAdvanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, JapanAdvanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, JapanAdvanced Emergency and Critical Care Center, Niigata University Medical and Dental Hospital, Niigata, JapanAlthough thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR.http://www.jtraumainj.org/upload/pdf/jti-32-3-172.pdfesophageal fistulaaortic rupturefrailtyendovascular procedures |
| spellingShingle | Masakazu Nitta Taro Tamakawa Natsuo Kamimura Tadayuki Honda Hiroshi Endoh Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury Journal of Trauma and Injury esophageal fistula aortic rupture frailty endovascular procedures |
| title | Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_full | Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_fullStr | Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_full_unstemmed | Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_short | Aortoesophageal Fistula after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_sort | aortoesophageal fistula after thoracic endovascular aortic repair for blunt thoracic aortic injury |
| topic | esophageal fistula aortic rupture frailty endovascular procedures |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-3-172.pdf |
| work_keys_str_mv | AT masakazunitta aortoesophagealfistulaafterthoracicendovascularaorticrepairforbluntthoracicaorticinjury AT tarotamakawa aortoesophagealfistulaafterthoracicendovascularaorticrepairforbluntthoracicaorticinjury AT natsuokamimura aortoesophagealfistulaafterthoracicendovascularaorticrepairforbluntthoracicaorticinjury AT tadayukihonda aortoesophagealfistulaafterthoracicendovascularaorticrepairforbluntthoracicaorticinjury AT hiroshiendoh aortoesophagealfistulaafterthoracicendovascularaorticrepairforbluntthoracicaorticinjury |