{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T14:27:49Z","timestamp":1777127269264,"version":"3.51.4"},"reference-count":18,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T00:00:00Z","timestamp":1671753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Shanghai Shenkang Hospital Development Center","award":["SHDC12016109"],"award-info":[{"award-number":["SHDC12016109"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Aortoesophageal fistula (AEF) is a relatively rare and potentially fatal disease. Secondary AEF is rare but is associated with serious complications and high mortality. There are rare cases of esophageal mediastinal fistula after descending aortic aneurysm stent implantation. We report the case of a 76-year-old man who had upper abdominal distension, without obvious inducement, for 3 months and felt fullness after a meal, accompanied by anorexia. A chest computer tomography (CT) examination of the abdomen was performed with the outside hospital. Descending thoracic aortic aneurysm was discovered and was treated with stent implantation. The patient was transferred to our hospital to continue treatment, mainly because of an esophageal mediastinal fistula. Finally, the thoracic aortic aneurysm was diagnosed as AEF after stent implantation, combined with the diagnosis of upper gastrointestinal bleeding. We hope that, through this case, we can explain the possible causes of bronchial mediastinal fistula after stent implantation of descending aortic aneurysm and the mechanism of upper gastrointestinal bleeding.<\/jats:p>","DOI":"10.3390\/diagnostics13010040","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T03:02:15Z","timestamp":1671764535000},"page":"40","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Aorticoesophagal Fistula Combined with Upper Gastrointestinal Bleeding after Endovascular Dissection of Thoracic Aortic Aneurysm"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7416-4281","authenticated-orcid":false,"given":"Yongwei","family":"Xu","sequence":"first","affiliation":[{"name":"Songjiang Hospital Affiliated to Shanghai Jiaotong University School of Medicine (Preparatory Stage), Shanghai 200065, China"},{"name":"Department of Gastroenterology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ran","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kangwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200065, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuchang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e18303","DOI":"10.1097\/MD.0000000000018303","article-title":"Massive hemorrhage from an aortoesophageal fistula caused by esophageal stent implantation: A case report and literature review","volume":"98","author":"Zhan","year":"2019","journal-title":"Medicine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.jcin.2009.03.010","article-title":"Aortoesophageal fistula after thoracic aortic stent-graft placement: A rare but. catastrophic complication of a novel emerging technique","volume":"2","author":"Eggebrecht","year":"2009","journal-title":"JACC Cardiovasc. 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