Successful Management of Esophagoparaprosthetic Fistula After Aortic Surgery

Shunsuke Kawamoto, Yoshikatsu Saiki, Katsuhiko Oda, Yoshio Nitta, Jun etsu Akasaka, Shukichi Miyazaki, Koichi Tabayashi

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


Aortoesophageal fistula is a relatively rare but highly fatal condition, especially in the case of secondary aortoesophageal fistulas after previous thoracic aortic surgery in which the aortic prosthetic graft itself may be involved in the infection, resulting in an esophagoparaprosthetic fistula. In this report, we describe a complicated case of esophagoparaprosthetic fistula arising after descending thoracic aortic replacement and endovascular pseudoaneurysm repair that was successfully treated by surgical resection and in situ aortic graft replacement using a homograft completely covered with an omental flap, combined with subtotal esophagectomy and staged reconstruction of the alimentary tract. The patient has been doing well for 24 months without signs of recurrent infection.

Original languageEnglish
Pages (from-to)1449-1451
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number4
Publication statusPublished - 2008 Apr


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