Thoracic Endovascular Aortic Repair of Esophageal Cancer-Associated Aortoesophageal Fistula: A Case Report and Literature Review

Background. Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thorac...

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Bibliographic Details
Published in:Case reports in oncological medicine 2018-01, Vol.2018 (2018), p.1-5
Main Authors: Kako, Makoto, Shimoyama, Rai, Ogino, Hidemitsu, Tsukiyama, Toshitaka, Takizawa, Satoshi, Ichita, Chikamasa, Tokoro, Shinnosuke, Egashira, Hideto, Sasaki, Akiko, Kawachi, Jun
Format: Article
Language:English
Subjects:
Aneurysms
Back pain
Blood pressure
Cancer
Cancer therapies
Care and treatment
Case Report
Case reports
Cefmetazole
Coronary vessels
Emergency medicine
Esophageal cancer
Fistula
Medical prognosis
Patients
Prevention
Stent (Surgery)
Surgeons
Thoracic surgery
Vascular surgery
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Summary:Background. Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thoracic endovascular aortic repair alone is not well-known. Case Presentation. We report a 67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophageal fistula and was rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional months with management of a mycotic aneurysm and secondary aortoesophageal fistula with the exposure of the stent graft into the esophagus. Thoracic endovascular aortic repair of aortoesophageal fistula with T4-esophageal cancer extended life for nearly an average of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus is rare but life-threatening; the esophageal stent insertion was effective. Conclusions. With postoperative management advances, thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer.
ISSN:2090-6706
2090-6714
DOI:10.1155/2018/9851397