Massive hemorrhage following definitive esophageal chemoradiation: teaching case of a fatal aortoesophageal fistula and lessons learned.
Gwendolyn J McGinnisJohn M HollandCharles R ThomasNima NabavizadehPublished in: Clinical case reports (2017)
Esophageal self-expandable metal stents and radiotherapy are valuable in combination for palliation and definitive treatment of esophageal cancer. However, risk of aortoesophageal fistula is significant in patients with evidence of malignant aortic invasion. Use of thoracic endovascular repair may represent an approach to early intervention in high-risk patients.
Keyphrases
- locally advanced
- end stage renal disease
- randomized controlled trial
- rectal cancer
- ejection fraction
- newly diagnosed
- early stage
- spinal cord
- radiation therapy
- prognostic factors
- squamous cell carcinoma
- heart failure
- aortic dissection
- pulmonary artery
- coronary artery
- combination therapy
- atrial fibrillation
- spinal cord injury
- medical students