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Left subclavian arterioesophageal fistula induced by a foreign body
C K Mok1, C S Chiu, H H Cheung
1Department of Surgery, University of Hong Kong, Grantham Hospital.
The Annals of Thoracic Surgery
|March 1, 1989
Abstract:
A left subclavian arterioesophageal fistula was diagnosed in a 35-year-old man at exploratory thoracotomy for suspected aortoesophageal fistula. After successful closure of the arterial fistula the patient developed a mediastinal abscess and esophagopleural fistula. The latter was successfully managed by retrosternal jejunal esophagoplasty followed by excision of the thoracic esophagus. This report documents a case of left subclavian arterioesophageal fistula and illustrates the importance of early diagnosis and surgical intervention of arterial perforation secondary to a foreign body in the esophagus.