Aortoesophageal fistula due to an aortic arch aneurysm is a rare entity wit
h an extremely high mortality. There are few reports of successfully manage
d cases and even fewer of long term survival. We report a case of an aortoe
sophageal fistula resulting from a mycotic pseudoaneurysm of the distal aor
tic arch in a patient with melioidosis, its surgical management, and outcom
e. (C) 2001 by The Society of Thoracic Surgeons.