case_images: PMC9239405_01
case_images: Computed tomography (CT) images showing (A) dilatation of descending aorta; the widest place reaches 4x6 cm (red line). Multidetector CT angiography: (B) sagittal reformatted images through the thorax showing active aortic bleeding generating an anterior hematoma (black arrow head) and exudate or rupture to form a large thrombus (blue arrow head), which is compressing the posterior wall of the esophagus (red arrow head), resulting in the abnormal course of the esophagus and is not recognizable in the picture. Multidetector CT angiography: (C) axial reformatted images through the thorax revealing active aortic bleeding generating an anterior hematoma (black arrow head) and exudate or rupture to form a large thrombus (red arrow head). (D) air bubbles (red arrow head) inside the aneurysm's thrombus that are suggestive of esophageal erosion.
case_images: fsurg-09-868663-g001.jpg
case_images: PMC9239405_01_fsurg-09-868663-g001.jpg
case_images: F1
case_images: The aortogram revealed the presence of pseudoaneurysm (size 40 x 60 mm) in the descending thoracic aorta (Figure 1A).
case_images: Postoperation computed tomographic angiography (A-C) and computed tomography (D) 1 day and (E) 14 days after AEF repair showing that the aortic lesions have been completely excluded, with no signs of endoleak, mediastinal infection, or stent-graft contamination.
case_images: fsurg-09-868663-g002.jpg
case_images: PMC9239405_01_fsurg-09-868663-g002.jpg
case_images: F2
case_images: Urgently, the vascular surgical team was consulted, and thoracic endovascular aneurysm repair was done with a stent graft (Ankura) (Figure 2A-C); the outcome was favorable. Postoperation computed tomographic investigation conducted on the first day and 14 days after AEF repairment suggested no esophageal leakage or grant infection (Figure 2D, E).
case_images: Upper gastrointestinal endoscopy revealing (A) an esophageal lesion (red arrow head) and (B) installation of an esophageal stent.
case_images: fsurg-09-868663-g003.jpg
case_images: PMC9239405_01_fsurg-09-868663-g003.jpg
case_images: F3
case_images: The patient was completely stable and underwent the treatment of esophageal lesion with the deployment of an esophageal stent on the fourth postoperative day (Figure 3).