Survival in a 2-year-old boy with hemorrhage secondary to an aortoesophageal fistula.

Abstract:

:Aortoesophageal fistula (AOF) in children with no history of cardiac disease or trauma is extremely rare, and survival is even rarer. We present a case of a 2-year-old boy who presented with massive hematemesis secondary to a primary aortoesophageal fistula and was found at endoscopy to have a submucosal hematoma. He then suffered a cardiac arrest with further catastrophic bleeding only controlled by a Sengstaken-Blakemore tube. Subsequent cardiopulmonary bypass was instituted and allowed direct repair of the fistula. He was discharged home 4 weeks later. The etiology of the fistula remains unknown.

journal_name

J Pediatr Surg

authors

Coates LJ,McNally J,Caputo M,Cusick E

doi

10.1016/j.jpedsurg.2011.09.054

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

2394-6

issue

12

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00794-9

journal_volume

46

pub_type

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