In situ aortic allograft insertion to repair a primary aortoesophageal fistula due to thoracic aortic aneurysm

Aortoesophageal fistula due to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and has an
extremely poor prognosis. In the English literature, we found only 27 successfully managed cases of primary aortoesophageal
fistula due to thoracic aortic aneurysm. We present a case of 74-year-old man who experienced the erosion of
a thoracoabdominal aortic aneurysm into the esophagus. We successfully performed resection and replacement of the
thoracoabdominal aorta with a cryopreserved allograft and total thoracic esophagectomy. A few months later, the
esophagus was reconstructed with orthotopic colonic interposition. The patient recovered well and resumed a normal life
(12 months’ follow-up).