{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:30:04Z","timestamp":1771921804826,"version":"3.50.1"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019558","name":"Qingdao Key Health Discipline Development Fund","doi-asserted-by":"publisher","award":["QDZDZK-202564"],"award-info":[{"award-number":["QDZDZK-202564"]}],"id":[{"id":"10.13039\/100019558","id-type":"DOI","asserted-by":"publisher"}]}],"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>Foreign-body\u2013related aortoesophageal fistula (AEF) is rare and fatal without rapid hemostasis and infection control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>A 74-year-old woman presented with hematemesis and shock after suspected fish-bone ingestion. Emergency TEVAR with a 32\u2005mm covered stent-graft (proximal landing in the distal third of the left subclavian artery) controlled bleeding. Endoscopic clip-and-line closure of an approximately 15\u2005mm esophageal defect was performed. Despite broad-spectrum antimicrobial therapy, the patient developed recurrent fever and later rebleeding associated with mediastinal sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TEVAR and endoscopic repair require an integrated, early source-control strategy. A stepwise algorithm prioritizing timely mediastinal drainage is essential to prevent graft contamination, infectious relapse, and rebleeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1722954","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:26:15Z","timestamp":1768458375000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Aortoesophageal Fistula induced by a fish bone: the critical role of mediastinal infection control after TEVAR and endoscopic closure"],"prefix":"10.3389","volume":"12","author":[{"given":"Yue","family":"Ma","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University","place":["Qingdao, Shandong, 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