Aortoesophageal Fistula Occurring During Lung Cancer Treatment: A Case Treated by Thoracic Endovascular Aortic Repair

Keima Ito; Tetsuya Oguri; Akiko Nakano; Kensuke Fukumitsu; Satoshi Fukuda; Yoshihiro Kanemitsu; Osamu Takakuwa; Hirotsugu Ohkubo; Masaya Takemura; Ken Maeno; Yutaka Ito; Akio Niimi

doi:10.2169/internalmedicine.2331-18

This article has now been updated. Please use the final version.

Aortoesophageal Fistula Occurring During Lung Cancer Treatment: A Case Treated by Thoracic Endovascular Aortic Repair

Keima Ito, Tetsuya Oguri, Akiko Nakano, Kensuke Fukumitsu, Satoshi Fukuda, Yoshihiro Kanemitsu, Osamu Takakuwa, Hirotsugu Ohkubo, Masaya Takemura, Ken Maeno, Yutaka Ito, Akio Niimi

Author information

Keima Ito
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Tetsuya Oguri
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Department od Education and Research Center for Community Medicine, Nagoya City University Graduate School of Medical Sciences, Japan
Akiko Nakano
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Kensuke Fukumitsu
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Satoshi Fukuda
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Yoshihiro Kanemitsu
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Osamu Takakuwa
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Hirotsugu Ohkubo
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Masaya Takemura
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Ken Maeno
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Yutaka Ito
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan
Akio Niimi
Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University Graduate School of Medical Sciences, Japan

Keywords: TEVAR, aortoesophageal fistula, lung cancer

JOURNAL OPEN ACCESS Advance online publication

Article ID: 2331-18

DOI https://doi.org/10.2169/internalmedicine.2331-18

The final version of this article is now available: Vol. 58 (2019), No. 20 pp. 3025-3028

Details

Abstract

A 63-year-old man had received chemoradiotherapy 7 years ago for stage IIIA pulmonary adenocarcinoma of the left lower lobe and stereotactic irradiation 3 years ago for stage IA pulmonary squamous cell carcinoma of the left upper lobe. An esophageal stent was placed because of esophageal narrowing caused by tumor invasion. Five months later, he was diagnosed with an aortoesophageal fistula. Because invasive surgery posed challenges, thoracic endovascular aortic repair (TEVAR) was performed. We report this rare case of aortoesophageal fistula treated using TEVAR. However, the therapeutic effect was temporary. Further studies investigating the indications for TEVAR are warranted.

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