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Spontaneous Aortoesophageal Fistula in an Acute Type B Aortic Dissection and a Right-Sided Arch
Cecillia Lui1, Jane Long2, James H Black3
1Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Abstract:
Primary aortoesophageal fistula (AEF) in the absence of prosthetic graft replacement or aortic endovascular therapy can develop as a rare but life-threatening complication of acute aortic dissection. This case demonstrates that primary AEF should be maintained on the clinical differential of a patient presenting with massive gastrointestinal bleed in the context of an aortic dissection.
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