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Successful one-stage operation of aortoesophageal fistula from thoracic aneurysm using a rifampicin-soaked synthetic graft

^a Department of Cardiovascular Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan
^b Department of Surgery, Kinki University School of Medicine, Osaka, Japan

*Corresponding author. Tel.: +81-723-66-0221; fax: +81-723-67-8657.

E-mail address: rtcryo{at}hotmail.co.jp (T. Inoue).

Aortoesophageal fistula secondary to thoracic aneurysm is rare, but is usually lethal, and few survivors have been reported. We report successful surgery for aortoesophageal fistula in a one-stage operation. Repair involved in situ replacement of the thoracic aneurysm using a rifampicin-soaked graft, primary repair of the esophagus, omental wrap and tube jejunostomy. This is the original report of the surgical repair of aortoesophageal fistula using a rifampicin-soaked graft.

Key Words: Aortoesophageal fistula; Thoracic aneurysm; Rifampicin; Omental wrap