A Case of Covered Stenting of Aorta for Prevention of Aortoesophageal Fistula in Advanced Esophageal Cancer

Yukinori Kurokawa, Toshimasa Tsujinaka, Tomio Kawasaki, Masaru Ouoka, Takashi Shibuya, Hideo Ariyoshi, Yuuichiro Doki, Hitoshi Shiozaki, Morito Monden, Munehiro Maeda*

Department of Surgery 2 and Radiology*, Osaka University School of Medicine

A 51-year-old man had an esophageal cancer potentially invading the aorta in the middle third of the thoracic esophagus. On the 17th day of his chemoradiation therapy, he suddenly vomited blood and went into shock. A CT scan revealed a deep ulcerated tumor on the border of the penetration to the aorta. To prevent formation of an aortoesophageal fistula formation, a covered stent was inserted into the aorta. He died of pneumonia 111 days after stenting. The autopsy showed no fistula and that a tight fibrinous thrombus was formed between the cover of the stent and the aortic wall. We conclude that implantation of a covered stent may prevent aortoesophageal fistula formation in advanced esophageal cancer.

Key words
advanced esophageal cancer, covered stent in aorta, prevention of aortoesophageal fistula

Reprint requests
Yukinori Kurokawa Department of Surgery 2, Osaka University School of Medicine
2-15 Yamadaoka, Suita-shi, 565-0871 JAPAN

Accepted
April 22, 1998

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