Thoracic Endovascular Aortic Repair of EsophagealCancer-Associated Aortoesophageal Fistula: A Case Report andLiterature Review

horacic endovascular aortic repair of an aortoesophagealfistula is an effective emergency treatment for patients withT4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignantaortoesophagealfistula treated with thoracic endovascular aortic repair alone is not well-known.Case Presentation. We report a67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophagealfistula andwas rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional monthswith management of a mycotic aneurysm and secondary aortoesophagealfistula with the exposure of the stent graft into theesophagus. Thoracic endovascular aortic repair of aortoesophagealfistula with T4-esophageal cancer extended life for nearly anaverage of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus israre but life-threatening; the esophageal stent insertion was effective.Conclusions. With postoperative management advances,thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer