{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:16:40Z","timestamp":1782965800042,"version":"3.54.5"},"reference-count":8,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/501100000761","name":"Imperial College London","doi-asserted-by":"publisher","award":["200386"],"award-info":[{"award-number":["200386"]}],"id":[{"id":"10.13039\/501100000761","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,5,24]]},"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>A woman in her 50s presented to the Emergency Department, following massive haematemesis, having swallowed a single tooth denture 3 years previously. Endoscopy initially revealed profuse bleeding at 20cm from the incisors, initially treated with an oesophageal covered stent. Following ongoing haematemesis, a thoracic and abdominal CT angiogram demonstrated an aorto-oesophageal fistula, which was successfully treated with a thoracic endograft and left tube thoracostomy. The patient remains well to 1\u2009year. This is the first case to demonstrate successful use of covered stents in both the aorta to stop exsanguination, as well as the oesophagus to prevent mediastinitis and avoid the need for thoracotomy and hypothermic circulatory arrest in a critically ill patient.<\/jats:p>","DOI":"10.1136\/bcr-2021-246539","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T12:10:18Z","timestamp":1654085418000},"page":"e246539","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Total endoluminal repair of aorto-oesophageal fistula"],"prefix":"10.1136","volume":"15","author":[{"given":"Sarina","family":"Vara","sequence":"first","affiliation":[{"name":"Mid and South Essex Vascular Unit, Mid and South Essex Hospitals NHS Foundation Trust, Basildon, Essex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naga Venkatesh","family":"Jayanthi","sequence":"additional","affiliation":[{"name":"General Surgery, Mid and South Essex NHS Foundation Trust, Chelmsford, Essex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Gadhvi","sequence":"additional","affiliation":[{"name":"Mid and South Essex Vascular Unit, Mid and South Essex Hospitals NHS Foundation Trust, Basildon, Essex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4542-1100","authenticated-orcid":false,"given":"Ankur","family":"Thapar","sequence":"additional","affiliation":[{"name":"Mid and South Essex Vascular Unit, Mid and South Essex Hospitals NHS Foundation Trust, Basildon, Essex, UK"},{"name":"Academic Section of Vascular Surgery, Imperial College London, London, London, UK"},{"name":"Centre for Circulatory Health, Anglia Ruskin University, Chelmsford, Essex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,6,1]]},"reference":[{"key":"2025082700552887000_15.6.e246539.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226101","article-title":"Endovascular treatment of an aorto-oesophageal fistula caused by oesophageal cancer","volume":"2018","author":"Leite","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082700552887000_15.6.e246539.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90129-L"},{"key":"2025082700552887000_15.6.e246539.3","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/S0016-5085(19)34162-9","article-title":"Aorto-esophageal fistula: report of a case and review of literature","volume":"53","author":"Sloop","year":"1967","journal-title":"Gastroenterology"},{"key":"2025082700552887000_15.6.e246539.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.07.117"},{"key":"2025082700552887000_15.6.e246539.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.084"},{"key":"2025082700552887000_15.6.e246539.6","doi-asserted-by":"crossref","first-page":"E336","DOI":"10.1055\/a-1287-8799","article-title":"Endovascular aortic repair for aorto-esophageal fistula in a young man: have all loose ends been tied?","volume":"53","author":"Lakhtakia","year":"2021","journal-title":"Endoscopy"},{"key":"2025082700552887000_15.6.e246539.7","first-page":"119","article-title":"Safety and efficacy of esophageal stents preceding or during neoadjuvant chemotherapy for esophageal cancer: a systematic review and meta-analysis","volume":"5","author":"Nagaraja","year":"2014","journal-title":"J Gastrointest Oncol"},{"key":"2025082700552887000_15.6.e246539.8","doi-asserted-by":"crossref","unstructured":"Tan CY , Kyaw HA , Farhangmehr N . Endoscopic management of gastro-bronchial fistula following two-stage esophagectomy using over-the- scope-clip (OTSC): case series. Adv Dig Med 2020.doi:10.1002\/aid2.13201","DOI":"10.1002\/aid2.13201"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:55:37Z","timestamp":1756281337000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,1]]},"published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1136\/bcr-2021-246539"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246539","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}