Annals of Cardiovascular and Thoracic Surgery

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Case Report - Annals of Cardiovascular and Thoracic Surgery (2021) Volume 4, Issue 1

Successful salvage surgery for traumatic aorto-esophageal fistula in a toddler: An emphasis on "near miss" aspects

We describe the successful surgical repair of a catastrophic traumatic aorto-esophageal fistula in a toddler using moderate somatic hypothermia. A pyrexial two-year-old toddler was admitted with hemorrhagic shock preceded by hematemesis, abdominal pain and melena for four days. Endoscopy showed a non-perforated ulcer at the mid-thoracic esophagus, with CT scan revealed a pseudo-aneurysm of the upper thoracic aorta. Prior to emergent left thoracotomy the patient was cooled to a rectal temperature of 34.5 degrees Celsius. During repair, the aorta was clamped and divided, the pseudo-aneurysm resected circumferentially, and the esophageal perforation repaired; the aorta was mobilized and primarily re-anastomosed. The patient was discharged home without any complications.

Author(s): Christopher J Knott-Craig, Abhishek Chakraborty and Umar S Boston

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