부산대학교 도서관

In patients with esophageal cancer, aortoesophageal fistulas may occur spontaneously or after stenting of the esophagus. An 80-year-old patient with severe dysphagia was diagnosed with a tumor of the esophagus and mediastinum with an undetermined histology but with malignant features. The tumor had grown into the aortic wall, resulting in a covered perforation with local hematoma. To seal the leakage and preserve the aortic blood flow, an endovascular prosthesis was implanted into the thoracic aorta. Thereafter, a coated, self-expandable esophageal stent was placed, with excellent palliative effects. This case demonstrates that in selected cases of malignant infiltration of the aortic wall, endovascular stenting may be feasible and beneficial.