Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2022; 10(12): 3814-3821
Published online Apr 26, 2022. doi: 10.12998/wjcc.v10.i12.3814
Successful management of life-threatening aortoesophageal fistula: A case report and review of the literature
Xue-Qing Zhong, Guo-Xiong Li
Xue-Qing Zhong, Guo-Xiong Li, Department of Gastroenterology and Hepatology, Hangzhou Normal University Affiliated Hospital, Hangzhou 310015, Zhejiang Province, China
Xue-Qing Zhong, Medical College, Hangzhou Normal University, Hangzhou 311121, Zhejiang Province, China
Author contributions: Zhong XQ was the patient’s doctor, reviewed the literature and contributed to manuscript draft; Li GX reviewed the literature and contributed to manuscript draft; Both authors issued final approval for the version to be submitted.
Supported by the Natural Science Foundation of Zhejiang Province (No. LQ19H030002).
Informed consent statement: As the patient died, the patient’s son informed consent.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guo-Xiong Li, MD, Professor, Department of Gastroenterology and Hepatology, Hangzhou Normal University Affiliated Hospital, No.126, Wenzhou Road, Hangzhou 310015, Zhejiang Province, China. guoxiongli849@hotmail.com
Received: June 23, 2021
Peer-review started: June 23, 2021
First decision: July 16, 2021
Revised: July 30, 2021
Accepted: March 4, 2022
Article in press: March 4, 2022
Published online: April 26, 2022
Processing time: 301 Days and 23.1 Hours
Core Tip

Core Tip: Aortoesophageal fistula (AEF) is a rare but life-threatening cause of upper gastrointestinal bleeding. However, only a few cases of successful management of AEF have been reported. Herein, we report the case of a 66-year-old man with life-threatening upper gastroenterology bleeding (UGB) caused by AEF who was successfully treated by thoracic endovascular aortic repair (TEVAR). The bleeding was controlled after TEVAR; he received antibiotics and was discharged. He died 2 mo later due to cancer progression. UGB caused by AEF is a lethal condition, but TEVAR is an effective treatment.