Case report

Repair of aortoesophageal fistula due to a penetrating atherosclerotic ulcer of the descending thoracic aorta and literature review

Guruvegowda Chandrashekar^1,2 , Vijay MN Kumar³ and Ashok K Kumar¹

¹  Department of Cardiothoracic Surgery, Mallya Hospital, Bangalore 560001, India

²  Department of Cardiothoracic Surgery, Patiala Heart Institute, Patiala 147001, India

³  Department of Gastroenterology, Mallya Hospital, Bangalore 560001, India

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Journal of Cardiothoracic Surgery 2007, 2:12doi:10.1186/1749-8090-2-12

Published:	14 February 2007

Abstract

Penetrating atherosclerotic ulcer rupturing into the esophagus is rare and the resulting aortoesophageal fistula carries a high mortality. In view of the emergency nature of the entity and complexity of the procedure management of such a condition is not standardized. The immediate concern is to save the patient from life threatening exsanguinations. Contrary to the practice hitherto followed no active surgical intervention was carried out for the esophageal lesion and cardiopulmonary bypass support was not employed. We present a case of rupture of a penetrating atherosclerotic ulcer of descending thoracic aorta, where in an emergency surgery was performed and the patient is doing well 21 months later.