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Successful management of esophageal perforation due to an aortic arch aneurysm replacement
P Grimminger1, D Vallböhmer, M Bludau
1Department of General, Visceral, and Cancer Surgery, University of Cologne, Cologne, Germany.
Abstract:
We present the successful management of an esophageal perforation after aortic arch aneurysm replacement in a 64-year-old patient. Four weeks after surgical repair of a perforated aortic arch aneurysm, a contained perforation of the thoracic esophagus on the prosthesis was detected. A subtotal esophagectomy and reconstruction by pull-up of the stomach together with the greater omentum and high intrathoracic esophagogastrostomy was performed. The aortic prosthesis was covered by omentum. After a prolonged postoperative course, the patient was discharged from the hospital on a full oral diet. She is well after 1 year without signs of infection.
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