1.Introduction
Thoracic aortic endovascular repair (TEVAR), as a minimally invasive
treatment for aortic diseases, has been used more and more clinically,
but problems such as stent leakage, re-intervention and infection are
still very serious. According to literature reports, the incidence of
AEF (aortic esophageal fistula) after TEVAR is 1.9%, but the condition
is dangerous and complicated, and the mortality rate is
high[1]. For AEF after TEVAR, most scholars
believe that open surgery is the root treatment of AEF[2-5]. Aortic replacement combined with
esophagectomy and debridement at the same time or by stages is an
effective treatment, but complications such as hemorrhage and sepsis may
occur [6-8]. However, the specific surgical
methods, aortic reconstruction methods, and esophagus resection or
repair are still inconclusive. The Department of Cardiovascular Surgery
of DeltaHealth Hospital uses ascending aorta-abdominal aorta bypass,
ascending aorta-brachiocephalic bypass, removal of infected vessels with
stents, and repair or resection of esophageal fistulas at the same time
or in stages. Achieve better clinical efficacy, the single-center
experience is now reported as follows.