Thoracic endovascular repair for catastrophic aorto-enteric fistula secondary to esophageal stent: Case report and literature review

Abstract

Secondary aorto-enteric fistula (SAEF) following esophageal stenting is a rare but recognized pathology. These are multifactorial in etiology and can lead to life-threatening catastrophic hemorrhage. With the advent of thoracic endovascular covered stent technology, a minimally invasive means of addressing is problem has emerged. We aim to discuss the pathophysiology and underlying principles in managing this difficult problem. Prompt early recognition and multidisciplinary care are critical to success.