Management of secondary aortoesophageal fistula without graft extraction.

FIGURE 1. A, Three-dimensional reconstructed computed tomographic scan fabric graft was used, and both proximal and distal anastomoses were covere was inserted into the distal anastomosis, extending 10 cm down to the descen (red arrow). B, Axial computed tomographic scan shows air entrapment along th From the Department of Cardiovascular Surgery, KKR Sapporo Medical Center, and the Division of Cancer Medicine, Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. Disclosures: Authors have nothing to disclose with regard to commercial support. Received for publication July 10, 2012; revisions received Aug 14, 2012; accepted for publication Sept 13, 2012; available ahead of print Oct 10, 2012. Address for reprints: Kazuya Kobayashi, MD, Department of Cardiovascular Surgery, KKR Sapporo Medical Center, Hiragishi 1-6, Toyohira-ku, Sapporo, 062-0931, Japan (E-mail: [email protected]). J Thorac Cardiovasc Surg 2013;145:e5-6 0022-5223/$36.00 Copyright 2013 by The American Association for Thoracic Surgery http://dx.doi.org/10.1016/j.jtcvs.2012.09.033