PMC4161651_01
Review of the endoscopic video (http://links.lww.com/MPG/A315) showed a non-pulsatile purple mass protrude briefly into the esophagus, likely the aneurysm. The left image was distal to the mass in the esophagus. The middle image shows the beginning of the mass. The image on the right shows the purple mass in the mid-esophagus.
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F1
A purple mass was briefly seen during withdrawal of the endoscope, but on continued visualization was not seen again and was thought to be a passing blood clot (Figure 1). In post-case review of the endoscopic video, the purple mass in the mid-esophagus was the aneurysm pushing into the lumen (Figure 1, Video [http://links.lww.com/MPG/A315]).
An image taken from the angiography of the thoracic vessels. The red arrow identifies the coarctation; the yellow arrow marks the site of extravasation.
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F2
AEF (Figure 2). An aortic stent was placed to cover the pseudoaneurysm and fistula.