Lui Cecillia, Long Jane, Black James H, Zehr Kenton J
Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins School of Medicine, Baltimore, MD.
Ann Vasc Surg. 2019 Jul;58:377.e13-377.e15. doi: 10.1016/j.avsg.2018.11.015. Epub 2019 Feb 11.
Primary aortoesophageal fistula (AEF) in the absence of prosthetic graft replacement or aortic endovascular therapy can develop as a rare but life-threatening complication of acute aortic dissection. This case demonstrates that primary AEF should be maintained on the clinical differential of a patient presenting with massive gastrointestinal bleed in the context of an aortic dissection.
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