| Life-threatening Aortoesophageal Fistula Bleeding Associated with Mycotic Aneurysm of the Descending Thoracic Aorta: A Case Report |
| 진균성 하행 흉부대동맥류에 의한 생명을 위협한 대동맥식도루 출혈 1예 |
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현소영ㆍ송현주ㆍ강동구ㆍ최은광ㆍ조유경ㆍ김흥업ㆍ송병철ㆍ박주옥*ㆍ김승형† |
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Departments of Internal Medicine, Emergency Medicine*, and Radiology†, Jeju National University School of Medicine, Jeju, Korea |
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| Abstract |
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Mycotic aortic aneurysm (MAA) is an uncommon disease, and aortoesophageal fistula (AEF) is also a rare complication of aortic aneurysm. An 81-year-old woman, who had no prior medical history, was transferred to the emergency department due to massive hematemesis. Emergent esophagogastroscopy showed an exposed vessel with blood spurting in the midesophagus. Chest computed tomography angiography demonstrated a mycotic aneurysm of the descending thoracic aorta and AEF. Due to high surgical risk, endovascular stent-graft was performed to control massive esophageal bleeding. After the procedure, the patient was stable without further bleeding. Endovascular stent-graft greatly contributed to the treatment of the patient at high surgical risk who had MAA and AEF. Therefore, we report one case of life-threatening AEF bleeding associated with mycotic aneurysm of the descending thoracic aorta that recovered after endovascular stent-graft placement. |
| Key Words:
Mycotic aortic aneurysm, Aortoesophageal fistula, Endovascular stent-graft |
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