Endovascular treatment of an aorto-oesophageal fistula caused by oesophageal cancer

Description 

Aorto-oesophageal fistula (AOF) is commonly the product of aortic aneurysms or iatrogenic injuries during endovascular aortic procedures; despite that, AOF is an uncommon medical condition. In rare cases, it can be the product of an oesophageal carcinoma. It is a fatal condition, and its treatment options are scarce due to its low incidence.1 2 The case presented herein aims to show an endovascular treatment for AOF.

A 50-year-old male patient presented with odynophagia, progressive dysphagia and weight loss for 4 months prior to the consultation. The patient sought the emergency healthcare service due to haematemesis and melena for 6 days. He was submitted to haemodynamic recovery, blood transfusion and to an upper gastrointestinal tract endoscopy, which revealed an ulcerative and vegetative tumouration on his oesophagus 25 cm below his upper dental arcade. Biopsy confirmed the hypothesis of a malignant oesophageal carcinoma with moderate cell differentiation. Despite the...

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