A 59-year-old man with an esophageal carcinoma developed massive hematemesi
s due to aortoesophageal fistula after irradiation therapy reached 58 Gy. E
mergent treatment with an endovascular stent-graft was successfully perform
ed and the patient followed an uneventful course until he died of pneumonia
4.5 months later, which was caused by a tracheoesophageal fistula. Stent-g
raft repair is a safe and effective method to treat aortoesophageal fistula
and may be an alternative to surgical resection. (C) 2000 Elsevier Science
Ireland Ltd. All rights reserved.