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KMID : 0364020100430060781
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 6 p.781 ~ p.784
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Aorto-esophageal Fistula That Developed after Endovascular Stent-grafting of a Mycotic Aneurysm - A case report -
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Nam Jin-Hae
Park Kay-Hyun
Yoo Jae-Suk
Lee Jae-Hang
Lim Cheong
Jheon Sang-Hoon
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Abstract
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A 74-year-old woman presented at our hospital with hemoptysis. Three months ago, she had endovascular stent-grafting done by a general surgeon for a saccular thoracic aneurysm that was found accidentally following an episode of fever and chills. Despite a lasting fever after the procedure, she was discharged without further treatment and follow-up. She was subsequently admitted to the hospital for evaluation and several exams were performed. Chest CT scans and an esophagoscopy identified an aorto-esophageal fistula at the level of the aorta that was covered by a previous stent-graft. After extensive administration of antibiotics, surgery was done - esophagectomy, cervical esophago-gastrostomy and replacement of the thoracic aorta. She was later discharged uneventfully.
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KEYWORD
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Aneurysm, Endovascular stent, Aneurysm, Infected, Esophageal fistula, Thoracic endovascular aortic repair
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