Repair of an aberrant subclavian arterioesophageal fistula following esophageal stent placement

Figure 1 Computed tomography angiography showing a retroesophageal right suclavian artery with a pseudoaneurysm (arrow) around 1cm from its takeoff.

Figure 2 Upper endoscopy showing a 2 cm × 3 cm Teflon patch 22 cm from the incisor.

Figure 3 Thoracic aortic angiography. A: Showing the pseudoaneurysm (arrow); B: Angiography after stent deployment.

Figure 4 Thoracotomy with the Teflon patch (arrowhead) and nasogastric tube (arrow) visible through the esophagotomy.

Figure 5 Gastrografin swallow performed postoperatively showing no evidence of a contrast leak at the site of the esophageal repair.

Figure 6 Computed tomography scan with oral contrast done after removal of the T-Tube with both the remnant tract of the T-tube (arrow) and the subclavian artery stent (arrowhead) seen.