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Updated: Jul 4, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Aortic and esophageal endografting for secondary aortoenteric fistula
E Civilini1, L Bertoglio, G Melissano
1Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.
Abstract:
The aorto-esophageal fistula is a well-recognized and potentially fatal complication of thoracic aortic surgery. Several strategies regarding its prevention and subsequent management have been described. We report the management of a large midthoracic fistula complicating redo thoraco-abdominal aortic surgery by the placement of covered stents in the aorta and esophagus to successfully exclude the lesion. While long term durability is uncertain, endografts and long-term antibiotics provide a therapeutic option for palliation in patients unfit for immediate surgery.
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