Aortoesophageal Fistula

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Abstract
COMMUNICATIONS between aortic aneurysms and the bronchial tree are believed to be related to pulsatile pressure phenomena that, if uncorrected, result in death. With the introduction of prosthetic grafts and surgical treatment of aortic aneurysms, aortogastrointestinal fistulas are a rare complication. Cases of communications between an aortic graft and the bronchial tree also have been reported previously.1,2To our knowledge, this is the first report of communication between the esophagus and thoracic aorta after replacement of a descending thoracic aortic aneurysm with a synthetic graft. Report of a Case A 58-year-old man had been treated for hypertension since age 53 years. He was examined at age 55 years because of an episode of chest pain. Three years later, thoracic aneurysm was suspected when angiography was attempted unsuccessfully. The patient was referred to us in November 1975; he underwent successful resection of a thoracic aortic aneurysm and replacement with a

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