Rare complication of esophageal necrosis and perforation after fenestrated endovascular aneurysm repair.
Complications
EVAR
Esophageal
FEVAR
Ischemia
Necrosis
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
02
12
2019
accepted:
09
02
2020
entrez:
24
4
2020
pubmed:
24
4
2020
medline:
24
4
2020
Statut:
epublish
Résumé
Fenestrated endovascular aneurysm repair (FEVAR) is a minimally invasive technique used to treat complex abdominal aortic aneurysms. We present the case of a 69-year-old man with a juxtarenal abdominal aortic aneurysm treated with FEVAR. The patient experienced postoperative dysphagia and sepsis. Investigations revealed a perforated esophagus due to esophageal ischemia and necrosis, leading to complete esophagectomy and subsequent esophageal reconstruction. This case highlights esophageal necrosis and perforation as a potential complication of FEVAR and serves as a reminder to have a low threshold for investigating and emergently managing this condition, which otherwise has a high mortality rate.
Identifiants
pubmed: 32322771
doi: 10.1016/j.jvscit.2020.02.004
pii: S2468-4287(20)30022-8
pmc: PMC7160524
doi:
Types de publication
Case Reports
Langues
eng
Pagination
181-184Informations de copyright
© 2020 The Authors.
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