ArticleFrontiers in cardiovascular medicine2023
Case report: Aortoesophageal fistula-an extremely rare but life-threatening cardiovascular cause of hematemesis.
Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Imaging review of aortic fistulas.Abdominal radiology (New York) · 2026Review
- Use of Balloon Tamponade Device for Aortoesophageal Fistula: A Case Report.Clinical practice and cases in emergency medicine · 2026Article
- From Migration to Emergency: A Systematic Review of Acute Presentations Following Late Esophageal Stent Migration.Journal of clinical medicine · 2026Review
- Case Report: Aortoesophageal fistula after radical gastrectomy for cardia cancer: diagnostic problems and successful staged treatment.Frontiers in cardiovascular medicine · 2026Article
- Fatal Aortoesophageal Fistula after Esophagectomy for Esophageal Cancer: A Single-Center Retrospective Analysis.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Article
- Aortoesophageal Fistula Following Thoracic Endovascular Aortic Repair.Annals of cardiac anaesthesia · 2025Article
- Article
- Aorto‑esophageal Fistula following Botox Injection.Journal of the Belgian Society of Radiology · 2025Article
- Mediastinal abscess and bacteremia due toIDCases · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aortoesophageal fistula (AEF) is an extremely rare cardiovascular etiology of hematemesis and upper gastrointestinal bleeding. As such, its recognition and diagnosis are challenging and may be delayed when such patients present to the emergency department (ED). Without timely surgical intervention, AEF is almost always fatal. Awareness of AEF as a possible diagnosis and consequently early identification of these patients presenting to the ED are therefore crucial in optimizing clinical outcomes. We report a 45-year-old male presenting to the ED with the classical triad of an AEF (Chiari's triad)-midthoracic pain or dysphagia, a sentinel episode of minor hematemesis, then massive hematemesis with risk of exsanguination. The case report highlights the importance of considering the differential diagnosis of AEF when evaluating patients presenting to the ED with hematemesis, especially if they have predisposing risk factors such as prior aortic or esophageal surgeries, aortic aneurysms, or thoracic malignancies. Patients suspected of having AEF should be prioritized for early computed tomography angiography to expedite diagnosis and treatment.
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