case_images: PMC11748745_01
case_images: (a) Computed tomography (CT) images showing aorto-oesophageal fistula post repeat TEVAR (red arrow). (b-c) Images showing persisting oesophageal defect after oesophageal stent insertion (green arrow).
case_images: CRIGM2025-6277906.001.jpg
case_images: PMC11748745_01_CRIGM2025-6277906.001.jpg
case_images: fig1
case_images: Repeat CT angiography ruled out bleeding into the mediastinum but demonstrated a communication between the aorta and oesophagus, suggestive of an aorto-oesophageal fistula (AEF) (Figure 1).
case_images: (a) Initial endoscopic view of aorto-oesophageal defect with purulent material seen in the mediastinum. (b) Repeat gastroscopy 10 months later showing persisting defect with aortic graft visible through the oesophagus with subsequent Ultraflex stent insertion.
case_images: CRIGM2025-6277906.002.jpg
case_images: PMC11748745_01_CRIGM2025-6277906.002.jpg
case_images: fig2
case_images: Gastroscopy confirmed this diagnosis, with a 3 cm ovoid oesophageal perforation with visible aortic graft and purulent fluid 30 cm from the incisors (Figure 2), which was managed with a partially covered 12.5 cm x 25 mm oesophageal stent.