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. 2023 Aug 6;1(4):619-622.
doi: 10.1016/j.atssr.2023.07.004. eCollection 2023 Dec.

Beating Total Arch Replacement for Aortoesophageal Fistula Involving the Aortic Arch

Ryota Matsumoto  1 , Kazuo Shimamura  1 , Takayuki Shijo  1 , Koichi Maeda  2 , Kizuku Yamashita  1 , Toru Ide  1 , Shigeru Miyagawa  1
Affiliations

Beating Total Arch Replacement for Aortoesophageal Fistula Involving the Aortic Arch

Ryota Matsumoto et al. Ann Thorac Surg Short Rep. .

Abstract

Aortoesophageal fistula is a challenging condition, especially when the aortic arch is involved. Optimal treatment, including surgical approach and adjunctive procedures for organ protection, remains debatable. We describe our strategy for treating aortoesophageal fistula involving the aortic arch using total arch replacement with the heart beating ("beating total arch replacement") under partial cardiopulmonary bypass.

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Figures

Figure 1
Figure 1
Schematic presentation of surgical technique. (A) Operative position and incisions. (B) Preoperative conditions. (C) Zone 0 thoracic endovascular aortic repair with translocation of the supra-aortic vessels. (D) Aortic clamping and opening of the aortic arch with endograft explantation. (E) Aortic arch replacement with a rifampicin-bonded Gelweave graft.
Figure 2
Figure 2
(A) Preoperative computed tomography angiography images. (B) Gastroesophageal endoscopic findings. (C) Intraoperative view during video-assisted esophagectomy. (D) Postoperative computed tomography angiography image.
See this image and copyright information in PMC

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