Arterial-esophageal fistulae developing in patients with anomalies of the aortic arch system

B. S. Edwards, W. D. Edwards, D. C. Connolly, J. E. Edwards

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Two cases are presented in which anomalies of the aortic arch system were associated with development of an arterial-esophageal fistula. The fistula resulted in massive upper gastrointestinal hemorrhage and death. In each malformation, part of the anomalous arch system lay against the esophagus and thereby provided the anatomic substrate for an arterial-esophageal fistula. In both cases, nonmassive ('sentinal') hemorrhage occurred prior to the massive fatal hemorrhage. Recognition of the significance of the 'sentinal' hemorrhage may allow surgical correction of the problem avoiding uncontrolled massive hemorrhage.

Original languageEnglish (US)
Pages (from-to)732-735
Number of pages4
JournalChest
Volume86
Issue number5
DOIs
StatePublished - 1984

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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