Esophageal Management of an Aortoesophageal Fistula

Aortoesophageal fistula, the formation of a tract between the aorta and esophagus, is rare and associated with a high mortality rate. We present a 49-year-old woman with an extensive type B aortic dissection found to have a tract between the esophagus and aortic false lumen. Multiple attempts at esophageal stenting were unsuccessful, with subsequent cervical esophagectomy required. Despite the lethal nature of this condition, the gold standard of management is unclear as studies are limited by a low incidence rate.