Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report

Fons J B Slieker; Jelle P Ruurda; Constantijn E V B Hazenberg

doi:10.1016/j.avsg.2019.02.011

Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report

Fons J B Slieker, Jelle P Ruurda, Constantijn E V B Hazenberg

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Secondary stent graft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year-old patient was admitted to the hospital with a secondary periaortic abscess. At first, the abscess was managed with clindamycin and transesophageal drainage. The abscess would not dissipate, and an infected iatrogenic aortoesophageal fistula was formed, which was surgically treated with esophageal resection, gastric tube reconstruction, and omental flap coverage.

Original language	English
Pages (from-to)	314.e1-314.e4
Journal	Annals of Vascular Surgery
Volume	59
Early online date	19 Apr 2019
DOIs	https://doi.org/10.1016/j.avsg.2019.02.011
Publication status	Published - Aug 2019

Keywords

Aged
Anti-Bacterial Agents/therapeutic use
Aortic Aneurysm, Thoracic/diagnostic imaging
Aortography/methods
Blood Vessel Prosthesis Implantation/adverse effects
Blood Vessel Prosthesis/adverse effects
Computed Tomography Angiography
Drainage/instrumentation
Endovascular Procedures/adverse effects
Esophageal Fistula/diagnostic imaging
Esophagectomy
Humans
Iatrogenic Disease
Male
Omentum/surgery
Prosthesis-Related Infections/diagnostic imaging
Reconstructive Surgical Procedures/instrumentation
Stents/adverse effects
Surgical Flaps
Treatment Outcome
Vascular Fistula/diagnostic imaging

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10.1016/j.avsg.2019.02.011

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title = "Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report",

abstract = "Secondary stent graft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year-old patient was admitted to the hospital with a secondary periaortic abscess. At first, the abscess was managed with clindamycin and transesophageal drainage. The abscess would not dissipate, and an infected iatrogenic aortoesophageal fistula was formed, which was surgically treated with esophageal resection, gastric tube reconstruction, and omental flap coverage.",

keywords = "Aged, Anti-Bacterial Agents/therapeutic use, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortography/methods, Blood Vessel Prosthesis Implantation/adverse effects, Blood Vessel Prosthesis/adverse effects, Computed Tomography Angiography, Drainage/instrumentation, Endovascular Procedures/adverse effects, Esophageal Fistula/diagnostic imaging, Esophagectomy, Humans, Iatrogenic Disease, Male, Omentum/surgery, Prosthesis-Related Infections/diagnostic imaging, Reconstructive Surgical Procedures/instrumentation, Stents/adverse effects, Surgical Flaps, Treatment Outcome, Vascular Fistula/diagnostic imaging",

author = "Slieker, {Fons J B} and Ruurda, {Jelle P} and Hazenberg, {Constantijn E V B}",

year = "2019",

month = aug,

doi = "10.1016/j.avsg.2019.02.011",

language = "English",

volume = "59",

pages = "314.e1--314.e4",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier",

}

Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report. / Slieker, Fons J B; Ruurda, Jelle P; Hazenberg, Constantijn E V B.
In: Annals of Vascular Surgery, Vol. 59, 08.2019, p. 314.e1-314.e4.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection

T2 - A Case Report

AU - Slieker, Fons J B

AU - Ruurda, Jelle P

AU - Hazenberg, Constantijn E V B

PY - 2019/8

Y1 - 2019/8

N2 - Secondary stent graft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year-old patient was admitted to the hospital with a secondary periaortic abscess. At first, the abscess was managed with clindamycin and transesophageal drainage. The abscess would not dissipate, and an infected iatrogenic aortoesophageal fistula was formed, which was surgically treated with esophageal resection, gastric tube reconstruction, and omental flap coverage.

AB - Secondary stent graft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year-old patient was admitted to the hospital with a secondary periaortic abscess. At first, the abscess was managed with clindamycin and transesophageal drainage. The abscess would not dissipate, and an infected iatrogenic aortoesophageal fistula was formed, which was surgically treated with esophageal resection, gastric tube reconstruction, and omental flap coverage.

KW - Aged

KW - Anti-Bacterial Agents/therapeutic use

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Aortography/methods

KW - Blood Vessel Prosthesis Implantation/adverse effects

KW - Blood Vessel Prosthesis/adverse effects

KW - Computed Tomography Angiography

KW - Drainage/instrumentation

KW - Endovascular Procedures/adverse effects

KW - Esophageal Fistula/diagnostic imaging

KW - Esophagectomy

KW - Humans

KW - Iatrogenic Disease

KW - Male

KW - Omentum/surgery

KW - Prosthesis-Related Infections/diagnostic imaging

KW - Reconstructive Surgical Procedures/instrumentation

KW - Stents/adverse effects

KW - Surgical Flaps

KW - Treatment Outcome

KW - Vascular Fistula/diagnostic imaging

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DO - 10.1016/j.avsg.2019.02.011

M3 - Article

C2 - 31009726

SN - 0890-5096

VL - 59

SP - 314.e1-314.e4

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

Esophageal Resection, Gastric Tube Reconstruction, and Omental Flap Coverage of Iatrogenic Aortoesophageal Fistula After Secondary Thoracic Stentgraft Infection: A Case Report

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