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Aortoesophageal fistulae following TEVAR: Case report and literature review

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dc.contributor.ascribedclinicalteacherHernández Rodríguez, Oscar Geovanny
dc.contributor.authorRey Chaves, Carlos Eduardo
dc.contributor.authorRojas Gomez, Santiago
dc.contributor.authorRosso Bayona, Jesus David
dc.contributor.authorPelaez Arango, Mauricio
dc.contributor.authorSánchez Cortés, Elio Fabio
dc.contributor.authorHernández Rodríguez, Oscar Geovanny
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Cirugía General
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Cirugía Oncológica
dc.contributor.javerianateacherRosso Bayona, Jesus David
dc.contributor.javerianateacherPelaez Arango, Mauricio
dc.contributor.javerianateacherSánchez Cortés, Elio Fabio
dc.date.accessioned2023-08-31T15:44:22Z
dc.date.available2023-08-31T15:44:22Z
dc.date.created2023-04-06
dc.description.abstractenglishIntroduction: Aortoesophageal fistulae are an uncommon pathology, primarily due to the aortic pathology in more than 50 % of the cases, followed by foreign body ingestion, and advanced malignancies. Recently it is recognized after surgical management of thoracic aortic pathologies either open or endovascular, with increased rates of morbidity and mortality. Presentation of the case: We present a 62-year-old male patient with a previous history of thoracic endovascular aortic repair, who enters the emergency room with gastrointestinal bleeding and clinical signs of infection. Positive blood cultures, and tomographic signs include prosthetic gas, with endoscopic findings of aortoesophageal fistulae. Aggressive surgical management was performed including esophageal resection and gastrointestinal exclusion. Bleeding control was reached in the early postoperative period, nevertheless despite multidisciplinary management, the patient died 8 days after surgery. Clinical discussion: Aortoesophageal fistulae, remains to be an uncommon complication either of thoracic aortic aneurysm or after endovascular treatment of aortic aneurysm; with high rates of morbidity and mortality, should be suspected in every case with upper gastrointestinal bleeding in the context of a patient with aortic disease. Non-surgical management should be avoided due to the high risk of complications and mortality, aggressive management needs to be considered in each case according to clinical condition of the patient. Conclusion: Aortoesophageal fistulae remain an uncommon complication after TEVAR, with increased mortality and morbidity rates after complete treatment. Conservative management should be avoided to achieve bleeding control and prevent the extension of the infection.spa
dc.description.comunidadPacientes con Fístula aortoesofágicaspa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0001-6888-5595spa
dc.description.orcidhttps://orcid.org/0000-0002-8977-0647spa
dc.description.orcidhttps://orcid.org/0000-0002-3503-8493spa
dc.description.orcidhttps://orcid.org/0000-0001-5550-9144spa
dc.description.publindexBspa
dc.description.quartilescopusQ3spa
dc.description.quartilewosQ4spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.sciencedirect.com/science/article/pii/S2210261223002547spa
dc.identifier.doihttps://doi.org/10.1016/j.ijscr.2023.108126spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2210-2612spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/65367
dc.language.isoengspa
dc.relation.citationendpage5spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume106spa
dc.relation.ispartofjournalInternational Journal of Surgery Case Reportsspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordAortic diseasespa
dc.subject.keywordEsophageal diseasesspa
dc.subject.keywordTEVARspa
dc.subject.keywordAortoesophageal fistulaespa
dc.titleAortoesophageal fistulae following TEVAR: Case report and literature reviewspa
dc.type.coarhttp://purl.org/coar/resource_type/c_93fcspa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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