Le cas clinique du mois. Anevrisme de l'aorte thoracique fistulise dans l'oesophage

[en] Primary aorto-oesophageal fistula, secondary to an aneurysm of the thoracic aorta, are almost fatal. In the literature, only twenty six successfully operated cases have been reported. We report the case of a 78-year-old man with a thoracic aortic aneurysm eroded into the mid oesophagus. Prompt diagnosis of an aorto-oesophageal fistula resulted from clinical history, CT-imaging and oesophagoscopy. The patient was successfully operated by exclusion of the thoracic aneurysm (insertion of a straight cryopreserved arterial allograft), oesophagectomy and cervical oesophagostomy and jejunostomy. The continuity of the digestive tube was later restored after preliminary aortic valve remplacement (stenosis of 0.8 cm2). This case report is the second in which a cryopreserved allograft was successfully implanted in the management of a primary aorto-oesophageal fistula.

Disciplines :

Surgery

Author, co-author :

Weber, Laurence ; Centre Hospitalier Universitaire de Liège - CHU > Urgences

Van Damme, Hendrik ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

Creemers, Etienne ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

Limet, Raymond ; Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique

Language :

French

Title :

Le cas clinique du mois. Anevrisme de l'aorte thoracique fistulise dans l'oesophage

Alternative titles :

[en] Aortoaesophageal Fistula Caused by a Thoracic Aortic Aneurysm

Publication date :

October 2006

Journal title :

Revue Médicale de Liège

ISSN :

0370-629X

eISSN :

2566-1566

Publisher :

Université de Liège. Revue Médicale de Liège, Liège, Belgium

Volume :

Issue :

Pages :

675-81

Peer reviewed :

Peer reviewed

Available on ORBi :

since 25 February 2011

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