{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T06:30:06Z","timestamp":1764657006898,"version":"3.46.0"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"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. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic balloon dilation serves as the first-line treatment for anastomotic strictures after esophagectomy. While generally safe, the procedure can, in rare instances, lead to severe vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 64-year-old male with a prior history of esophagectomy for cancer presented with dysphagia due to an anastomotic stricture. Shortly after undergoing endoscopic balloon dilation, he developed hoarseness. Computed tomography (CT) identified a penetrating aortic ulcer (PAU) with contained rupture and an associated hematoma compressing the left recurrent laryngeal nerve, consistent with Ortner's syndrome. The patient was successfully managed with emergent thoracic endovascular aortic repair (TEVAR). At the three-month follow-up, the aortic stent remained, and his hoarseness had significantly improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This rare case of a PAU and Ortner's syndrome following endoscopic dilation underscores the critical importance of vigilance for life-threatening vascular injuries after seemingly routine procedures. It highlights the necessity of considering such complications in the differential diagnosis of post-procedural symptoms and demonstrates the efficacy of endovascular repair as a definitive treatment option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1663479","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T06:26:27Z","timestamp":1764656787000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Penetrating aortic ulcer following endoscopic dilatation of esophageal anastomotic stenosis: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Jingjing","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinghua","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"111","DOI":"10.3390\/jpm15030111","article-title":"The endoscopic management of anastomotic strictures after esophagogastric surgery: a comprehensive review of emerging approaches beyond endoscopic dilation","volume":"15","author":"Dell'Anna","year":"2025","journal-title":"J Pers Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1136\/gutjnl-2017-315414","article-title":"UK guidelines on oesophageal dilatation in clinical practice","volume":"67","author":"Sami","year":"2018","journal-title":"Gut"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e20","DOI":"10.1053\/j.gastro.2018.04.021","article-title":"Hoarseness of voice after endoscopic dilation of an esophageal stricture","volume":"155","author":"Abushahin","year":"2018","journal-title":"Gastroenterology"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e334","DOI":"10.1161\/cir.0000000000001106","article-title":"2022 Acc\/Aha guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American college of cardiology joint committee on clinical practice guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"key":"B5","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/s0030-6665(03)00172-5","article-title":"Recurrent laryngeal nerve paralysis: anatomy and etiology","volume":"37","author":"Myssiorek","year":"2004","journal-title":"Otolaryngol Clin North Am"},{"key":"B6","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1590\/s1808-86942011000500004","article-title":"Ortner\u2019s syndrome: case series and literature review","volume":"77","author":"Subramaniam","year":"2011","journal-title":"Braz J Otorhinolaryngol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"141","DOI":"10.5582\/irdr.2023.01047","article-title":"Ortner\u2019s syndrome: a systematic review of presentation, diagnosis and management","volume":"12","author":"Verma","year":"2023","journal-title":"Intractable Rare Dis Res"},{"key":"B8","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1093\/eurheartj\/ehx319","article-title":"Acute aortic syndromes: diagnosis and management, an update","volume":"39","author":"Bossone","year":"2018","journal-title":"Eur Heart J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"B10","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/s0890-5096(06)60697-3","article-title":"Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations","volume":"1","author":"Stanson","year":"1986","journal-title":"Ann Vasc Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1016\/j.jtcvs.2003.11.050","article-title":"Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch","volume":"127","author":"Cho","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1086","DOI":"10.1177\/17085381221102785","article-title":"Penetrating aortic ulcer and aortic intramural hematoma: treatment strategy","volume":"31","author":"Shao","year":"2023","journal-title":"Vascular"},{"key":"B13","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1016\/j.ejvs.2016.06.005","article-title":"Editor\u2019s choice\u2014management of descending thoracic aorta diseases: clinical practice guidelines of the European society for vascular surgery (esvs)","volume":"53","author":"Riambau","year":"2017","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"55s","DOI":"10.1016\/j.jvs.2020.05.076","article-title":"Society for vascular surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms","volume":"73","author":"Upchurch","year":"2021","journal-title":"J Vasc Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.ejvs.2024.12.018","article-title":"Editor\u2019s choice\u2014european society for vascular surgery (Esvs) 2025 clinical practice guidelines on the management of vascular trauma","volume":"69","author":"Wahlgren","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e15","DOI":"10.5830\/cvja-2016-015","article-title":"Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child","volume":"27","author":"Tezcan","year":"2016","journal-title":"Cardiovasc J Afr"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e41292","DOI":"10.1097\/md.0000000000041292","article-title":"Fatal complications of aortoesophageal fistula caused by pseudoaneurysm following esophageal stent placement: a case report","volume":"104","author":"Liao","year":"2025","journal-title":"Medicine (Baltimore)"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1663479\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T06:26:28Z","timestamp":1764656788000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1663479\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,2]]},"references-count":17,"alternative-id":["10.3389\/fsurg.2025.1663479"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1663479","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,2]]},"article-number":"1663479"}}