A Catastrophic Complication of Thoracic Endovascular Aortic Repair: Aortoesophageal Fistula.
Julio C Sauza-SosaJorge Fernández-TapiaKaren Arratia-CarlinRaúl Zenteno-LangleJorge Mendoza-RamírezFelix Damas-de Los SantosGildardo Cortés-JuliánPublished in: Methodist DeBakey cardiovascular journal (2022)
A 62-year-old man was admitted to the hospital due to sepsis secondary to a hemodialysis catheter-related infection that, upon diagnostic evaluation, demonstrated to be caused by P. aeruginosa and was treated with meropenem. Eradication of the infectious episode was confirmed by blood workup, including cultures. One month after the initial episode, the patient was readmitted due to a symptomatic penetrating aortic ulcer, which was classified as a cardiovascular emergency. The patient underwent an aortic stent-graft placement. Four weeks later, he presented to the emergency department with a 2-hour onset of thoracic pain and massive hematemesis. The esophagus and aortic segment with aortic stent graft were resected en bloc after an aortoesophageal fistula was diagnosed.
Keyphrases
- aortic valve
- emergency department
- left ventricular
- pulmonary artery
- aortic dissection
- case report
- spinal cord
- healthcare
- public health
- chronic pain
- intensive care unit
- pain management
- ultrasound guided
- acute kidney injury
- neuropathic pain
- lymph node
- blood pressure
- adverse drug
- peritoneal dialysis
- pulmonary arterial hypertension
- septic shock
- gestational age
- end stage renal disease
- prognostic factors