Complex two-stage open surgical repair of an aortoesophageal fistula after thoracic endovascular aortic repair

Aortoesophageal fistula after thoracic endovascular aortic repair is a rare but fatal complication, and no clear guidelines exist in the literature for optimal management. Herein, we report a complex case of a patient with an infected thoracic endograft that led to an aortoesophageal fistula. The treatment comprised a two-stage open surgical approach—an extra-anatomic aortic bypass in the first stage, followed by explantation of the infected...