Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression

Yamana, Fumio; Shimamura, Kazuo; Funaki, Soichiro et al.

Interdisciplinary CardioVascular and Thoracic Surgery, 2025, 40(6), ivaf112

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Identifier to cite or link to this item: https://hdl.handle.net/11094/101414

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Title
Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression
Creator
CreatorName
Yamana, Fumio
NRID
1000010507205 1000010507205
researchmap permalink
kazuo-shimamura kazuo-shimamura
Scopus Author ID
35969640700 35969640700
CreatorName
Shimamura, Kazuo
NRID
1000050464251 1000050464251
researchmap permalink
so1 so1
Scopus Author ID
14123352700 14123352700
CreatorName
Funaki, Soichiro
NRID
1000070544237 1000070544237
ORCID
0000-0003-0015-6569 0000-0003-0015-6569
researchmap permalink
s-miyagawa3154 s-miyagawa3154
Scopus Author ID
55560624700 55560624700
CreatorName
Miyagawa, Shigeru
Subject
secondary aorto-oesophageal fistula
thoracic endovascular aortic repair
thoracoscopic aortic aneurysm
Description
Yamana Fumio, Shimamura Kazuo, Funaki Soichiro, et al. Thoracoscopic resection of residual aneurysm following hybrid aortic arch repair to prevent secondary aorto-oesophageal fistula in cases of severe oesophageal compression. Interdisciplinary CardioVascular and Thoracic Surgery 40, ivaf112 (2025); https://doi.org/10.1093/icvts/ivaf112.
Abstract
Secondary aorto-oesophageal fistulas after thoracic endovascular aortic repair are a severe complication associated with high mortality rates. We present a case of staged oesophageal decompression performed via thoracoscopic resection of a residual aneurysm following thoracic endovascular aortic repair to prevent secondary aorto-oesophageal fistulas in a patient with a distal arch aneurysm causing significant oesophageal compression. A 70-year-old woman with a 3-month history of hoarseness was referred to our hospital. Computed tomography revealed a penetrating ulcer in the aortic arch, complicated by a 60 mm pseudoaneurysm causing significant oesophageal compression. Owing to multiple comorbidities, the patient had high perioperative risk, rendering total arch replacement unfeasible; therefore, endovascular repair was selected. After Zone 1 hybrid thoracic endovascular aortic repair, complete thrombosis of the aneurysm was confirmed. Staged residual aneurysm resection was performed via thoracoscopy through a small left thoracotomy relieve oesophageal compression. Two years postoperatively, computed tomography revealed aneurysmal reduction, complete resolution of the oesophageal pressure drainage and no evidence of secondary aorto-oesophageal fistula or stent graft infection.
Publisher
Oxford University Press (OUP)
Source Title
Interdisciplinary CardioVascular and Thoracic Surgery
Volume (Issue)
40(6)
Page
ivaf112
Date of Issued
2025-05-12
Language
English
Handle URL
https://hdl.handle.net/11094/101414
eISSN
2753670X
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1093/icvts/ivaf112
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article