Esophageal and Bronchial Perforations After Thoracic Aortic Aneurysm Replacement: Successful Repair with Covered Metallic Stents

Journal Article · Mon Sep 15 04:00:00 EDT 2003 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0051-8· OSTI ID:21088348

Sueyoshi, Eijun ^[1]; Imada, Tatsuya ^[2]; Sakamoto, Ichiro; Uetani, Masataka; Hayashi, Kuniaki ^[3]

---

1. Omura Municipal Hospital, Kogashima-chou 133-22, Omura 856-0817, Department of Radiology (Japan)
2. Omura Municipal Hospital, Kogashima-chou 133-22, Omura 856-0817, Department of Cardiovascular Surgery (Japan)
3. Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Department of Radiology (Japan)

Esophageal and bronchial perforations are rare but potentially fatal complications of descending thoracic aortic aneurysm replacement. This report presents a 67-year-old man with both esophageal and bronchial perforations that occurred after descending thoracic aortic aneurysm replacement. Surgical repair was performed, but the lesions perforated again. Two covered metallic stent prostheses introduced into both the esophagus and left main bronchus led to the improvement of mediastinitis by sealing the perforations. To our knowledge, this is the first report describing successful treatment for esophageal and bronchial perforations using covered metallic stents. Placement of covered metallic stents can be an option for the treatment of patients with esophagorespiratory tract perforations, especially those who are in critical condition.

• OSTI ID: 21088348
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 26; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOLOGICAL REPAIR
ESOPHAGUS
PATIENTS
PERFORATION
PROSTHESES
SURGERY