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KMID : 0931320100100020060
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대한상부위장관.헬리코박터학회지
2010 Volume.10 No. 2 p.60 ~ p.65
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Life-threatening Aortoesophageal Fistula Bleeding Associated with Mycotic Aneurysm of the Descending Thoracic Aorta: A Case Report
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Hyun So-Young
Song Hyun-Joo
Kang Dong-Gu
Choi Eun-Kwang
Cho Yoo-Kyung
Kim Heung-Up
Song Byung-Cheol
Park Ju-Ok
Kim Seong-Hyung
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Abstract
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Mycotic aortic aneurysm (MAA) is an uncommon disease, and aortoesophageal fistula (AEF) is also a rare complication of aortic aneurysm. An 81-year-old woman, who had no prior medical history, was transferred to the emergency department due to massive hematemesis. Emergent esophagogastroscopy showed an exposed vessel with blood spurting in the midesophagus. Chest computed tomography angiography demonstrated a mycotic aneurysm of the descending thoracic aorta and AEF. Due to high surgical risk, endovascular stent-graft was performed to control massive esophageal bleeding. After the procedure, the patient was stable without further bleeding. Endovascular stent-graft greatly contributed to the treatment of the patient at high surgical risk who had MAA and AEF. Therefore, we report one case of life-threatening AEF bleeding associated with mycotic aneurysm of the descending thoracic aorta that recovered after endovascular stent-graft placement.
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KEYWORD
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Mycotic aortic aneurysm, Aortoesophageal fistula, Endovascular stent-graft
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