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Updated: Oct 28, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Aortoesophageal fistula treated with emergent thoracic stent grafting
Shivam Kaushik1, Keith Quencer2, Larry W Kraiss3
1Rowan University School of Osteopathic Medicine, Stratford, NJ.
Abstract:
Aortoesophageal fistula (AEF) is a rare pathology with a poor prognosis. Historically, open repair approaches were undertaken. With the advent of endovascular techniques, alternative methods such as thoracic endovascular aortic repair (TEVAR) have emerged. This case describes a patient who presented with severe hematemesis and, upon imaging, an AEF was discovered. Urgent TEVAR was indicated with a graft oversized to the native aorta by 10% to 15%, along with coil embolization of the intercostal artery. We report here on the successful management of AEF via TEVAR.
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