Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report
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Publication date
2019-08
Authors
Slieker, Fons J.B.
Ruurda, Jelle P
Hazenberg, Constantijn E V B
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Advisors
Supervisors
Document Type
Article
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taverne
Abstract
Secondary stent graft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year-old patient was admitted to the hospital with a secondary periaortic abscess. At first, the abscess was managed with clindamycin and transesophageal drainage. The abscess would not dissipate, and an infected iatrogenic aortoesophageal fistula was formed, which was surgically treated with esophageal resection, gastric tube reconstruction, and omental flap coverage.
Keywords
Aged, Anti-Bacterial Agents/therapeutic use, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortography/methods, Blood Vessel Prosthesis Implantation/adverse effects, Blood Vessel Prosthesis/adverse effects, Computed Tomography Angiography, Drainage/instrumentation, Endovascular Procedures/adverse effects, Esophageal Fistula/diagnostic imaging, Esophagectomy, Humans, Iatrogenic Disease, Male, Omentum/surgery, Prosthesis-Related Infections/diagnostic imaging, Reconstructive Surgical Procedures/instrumentation, Stents/adverse effects, Surgical Flaps, Treatment Outcome, Vascular Fistula/diagnostic imaging, Taverne, Case Reports, Journal Article
Citation
Slieker, F J B, Ruurda, J P & Hazenberg, C E V B 2019, 'Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection : A Case Report', Annals of Vascular Surgery, vol. 59, pp. 314.e1-314.e4. https://doi.org/10.1016/j.avsg.2019.02.011