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The Annals of Thoracic Surgery, Vol 47, 458-460, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Left subclavian arterioesophageal fistula induced by a foreign body

CK Mok, CS Chiu and HH Cheung
Department of Surgery, University of Hong Kong, Grantham Hospital.

A left subclavian arterioesophageal fistula was diagnosed in a 35-year- old man at exploratory thoracotomy for suspected aortoesophageal fistula. After successful closure of the arterial fistula the patient developed a mediastinal abscess and esophagopleural fistula. The latter was successfully managed by retrosternal jejunal esophagoplasty followed by excision of the thoracic esophagus. This report documents a case of left subclavian arterioesophageal fistula and illustrates the importance of early diagnosis and surgical intervention of arterial perforation secondary to a foreign body in the esophagus.

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