PMC9306669_01
Thoracic aortic stent-graft placement. (A) Penetrating thoracic aortic ulcer. (B) Thoracic aortic stent-graft placement.
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F1
One month later, the patient was readmitted with a symptomatic penetrating aortic ulcer (PAU) that was classified as a cardiovascular emergency (Figures 1 A, 2 B; Video 1).
Thoracic aortic stent-graft placement, also at https://youtu.be/Pn5_3Me7OQs.. Esophago-gastro-duodenoscopy, also at https://youtu.be/60p0ogCGFoI.. Reconstruction of the descending aorta with graft, also at https://youtu.be/uMupjd-DzUc.
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V1
One month later, the patient was readmitted with a symptomatic penetrating aortic ulcer (PAU) that was classified as a cardiovascular emergency (Figures 1 A, 2 B; Video 1). A; Video 2). Aortic CT angiography confirmed the finding of a possible fistula to the esophagus (Figure 2 B).
Aortoesophageal fistula. (A) Esophago-gastro-duodenoscopy. (B) Computed tomographic angiography. Ao: descending thoracic aorta; *: esophagus.
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F2
Subsequently, the patient underwent surgical resection and replacement of the esophagus with a stomach graft and reconstruction of the descending aorta with graft placement (Figure 3 A; Video 3). The esophagus and aortic segment with aortic stent graft underwent en bloc resection (Figure 3 B).