RESUMO
Esophageal squamous cell carcinoma can spread locally to neighboring organs in the mediastinum. When it invades the aorta, the patient may develop an aorto esophageal fistula (AEF), complication that carries a high mortality rate. We report a 62-year-old male with stage IV esophageal carcinoma who, after chemo radiation treatment, developed an AEF. He was successfully treated with the use of an aortic endograft. The patient died 13 months later due to progression of his cancer, without evidence of sepsis or new bleeding episodes.
Assuntos
Doenças da Aorta/etiologia , Carcinoma de Células Escamosas/complicações , Fístula Esofágica/etiologia , Neoplasias Esofágicas/complicações , Fístula Vascular/etiologia , Doenças da Aorta/cirurgia , Procedimentos Endovasculares , Fístula Esofágica/cirurgia , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Fístula Vascular/cirurgiaRESUMO
Background: Esophageal squamous cell carcinoma can spread locally to neighboring organs in the mediastinum. When it invades the aorta, the patient may develop an aorto esophageal fistula (AEF), complication that carries a high mortality rate. We report a 62-year-old male with stage IV esophageal carcinoma who, after chemo radiation treatment, developed an AEF. He was successfully treated with the use of an aortic endograft. The patient died 13 months later due to progression of his cancer, without evidence of sepsis or new bleeding episodes.