| A Case of Aortoesophageal Fistula due to Esophageal Cancer Treated with Endovascular Stent Grafting |
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Kyung Han Yoon, Jae Young Jang, Shin Ju Oh, Yoo Min Park, Myoung Hwa Jung, JungWook Kim, Young Woon Chang |
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Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea |
| 식도암 환자에서 혈관 내 스텐트 삽입으로 치료한 대동맥 식도 누공 1예 |
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윤경한, 장재영, 오신주, 박유민, 정명화, 김정욱, 장영운 |
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경희대학교 의과대학 내과학교실 |
Correspondence:
Jae Young Jang, Tel: +82-2-958-8260, Fax: +82-2-968-1848, Email: jyjang@khu.ac.kr
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Received: 3 September 2014 • Revised: 20 October 2014 • Accepted: 30 October 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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Hemorrhage into the esophagus due to aortoesophageal communication is very rare but life-threatening with high morbidity and mortality. Because of this, most cases of aortoesophageal fistula are confirmed by autopsy. However, we report herein a case of a 62-year-old male with an aortoesophageal fistula who was successfully treated with endovascular stent-grafting. The patient had undergone esophageal stent insertion due to esophageal cancer and experienced hematemesis and hemodynamic shock due to an aortoesophageal fistula. Emergency endoscopy was unable to identify the source of the hemorrhage due to massive bleeding. Computed tomography of the chest revealed a focal pseudoaneurysm at the descending aorta and diffuse thinning of the esophageal wall, which were treated with endovascular stent-grafting. Although aortoesophageal fistulas are usually fatal, implantation of a covered stent into the esophagus may help prevent massive bleeding, providing valuable time to treat the patient. |
| Key Words:
Stent, vascular; Fistula, aortoesophageal; Cancer, esophagus |
| 주제어:
스텐트; 대동맥 식도 누공; 식도암 |
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