Successful management of secondary aortoesophageal fistula with graft infection

A 60-year-old woman was transferred to our institution alter massive hemate mesis and the diagnosis of secondary aortoesophageal fistula was made. Five months previously, she had undergone graft replacement from the origin of the left subclavian artery to midthoracic aorta for chonic type B dissectio n. After an extraanatomic bypass was performed through a sternotomy, the in fected thoracic aortic graft was resected through a left thoracotomy. She r emained well without evidence of infection.