{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T20:30:59Z","timestamp":1770496259397,"version":"3.49.0"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Esophageal foreign body impaction represents a common clinical emergency. In severe cases, it can lead to esophageal perforation and aortic injury, potentially causing life-threatening aorto-esophageal fistulas. While immediate intervention is critical, concurrent infection and retained foreign material substantially complicate management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a rare case of a giant aortic arch pseudoaneurysm secondary to a migratory fish bone. Contrast-enhanced computed tomography (CT) confirmed the diagnosis, prompting urgent surgery. Median sternotomy under cardiopulmonary bypass enabled simultaneous foreign body extraction and aortic perforation repair using autologous pericardium. We reconstructed the aortic arch using a branched stent-graft system via the frozen elephant trunk (FET) technique. Postoperatively, systematic mediastinal irrigation, proactive gastrointestinal decompression, and protocolized enteral nutritional support facilitated complete recovery without requiring secondary esophageal reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Aortic injuries resulting from esophageal foreign bodies frequently necessitate a multidisciplinary approach. This case demonstrates the feasibility of a single-stage surgical strategy combining aortic repair via the frozen elephant trunk technique with conservative, non-operative management of the concomitant esophageal injury, facilitated by rigorous postoperative care. Treatment strategies must be individualized based on a comprehensive assessment of the aortic involvement pattern, anatomical location, and coexisting pathological conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1633808","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:36:32Z","timestamp":1761197792000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Area of focus in a case of giant aortic arch pseudoaneurysm following fish bone penetration"],"prefix":"10.3389","volume":"12","author":[{"given":"Jianxian","family":"Xiong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxin","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjian","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peijun","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zitao","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xudong","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s13017-019-0245-2","article-title":"Esophageal emergencies: WSES guidelines","volume":"14","author":"Chirica","year":"2019","journal-title":"World J Emerg Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e45","DOI":"10.22037\/aaem.v12i1.2306","article-title":"Life-threatening carotid complications caused by extraluminal migration of ingested foreign bodies; a case report and narrative review of literature","volume":"12","author":"Soloperto","year":"2024","journal-title":"Arch Acad Emerg Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2472","DOI":"10.1002\/lary.25340","article-title":"Proposal for methods of diagnosis of fish bone foreign body in the esophagus","volume":"125","author":"Woo","year":"2015","journal-title":"Laryngoscope"},{"key":"B4","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1002\/lary.24899","article-title":"Esophageal perforation caused by edible foreign bodies: a systematic review of the literature","volume":"125","author":"Aronberg","year":"2015","journal-title":"Laryngoscope"},{"key":"B5","doi-asserted-by":"publisher","first-page":"52","DOI":"10.23736\/S2724-5691.22.09781-7","article-title":"Esophageal emergencies","volume":"78","author":"Chirica","year":"2023","journal-title":"Minerva Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s12872-023-03091-4","article-title":"Endovascular aortic arch repair with chimney technique for pseudoaneurysm","volume":"23","author":"Luo","year":"2023","journal-title":"BMC Cardiovasc Disord"},{"key":"B7","doi-asserted-by":"publisher","first-page":"ezae401","DOI":"10.1093\/ejcts\/ezae401","article-title":"Multicentre frozen elephant trunk technique experience as redo surgery to treat residual type A aortic dissections following ascending aortic replacement","volume":"66","author":"Kreibich","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1177\/15266028211057087","article-title":"A comparison of clinical outcomes of endovascular repair versus open surgery for ruptured descending thoracic aorta","volume":"29","author":"Xie","year":"2022","journal-title":"J Endovasc Ther"},{"key":"B9","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.cjca.2023.01.028","article-title":"A giant transsternal aortic pseudoaneurysm","volume":"39","author":"S\u00e9n\u00e9chal","year":"2023","journal-title":"Can J Cardiol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"2103","DOI":"10.1093\/eurheartj\/ehae072","article-title":"Fish bone ingestion causes aortic pseudoaneurysm","volume":"45","author":"Liu","year":"2024","journal-title":"Eur Heart J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1111\/1759-7714.14734","article-title":"Update on therapeutic strategy for esophageal anastomotic leak: a systematic literature review","volume":"14","author":"Hua","year":"2023","journal-title":"Thorac Cancer"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/dox013","article-title":"Epidemiology, diagnosis, and management of esophageal perforations: systematic review","volume":"30","author":"Sdralis","year":"2017","journal-title":"Dis Esophagus"},{"key":"B13","doi-asserted-by":"publisher","first-page":"297","DOI":"10.3109\/2000656X.2013.765885","article-title":"Results of intra-wound continuous negative pressure irrigation treatment for mediastinitis","volume":"47","author":"Morinaga","year":"2013","journal-title":"J Plast Surg Hand Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"2002","DOI":"10.1016\/j.jtcvs.2020.06.035","article-title":"Repair of aortoesophageal fistula with homograft aortic replacement and primary esophageal closure","volume":"163","author":"Jeon","year":"2022","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1633808\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:36:34Z","timestamp":1761197794000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1633808\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,23]]},"references-count":14,"alternative-id":["10.3389\/fcvm.2025.1633808"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1633808","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,23]]},"article-number":"1633808"}}