Evidence map›Paper›PMID 41458301›Full record

ArticleJournal of vascular surgery cases and innovative techniques2026

Staged open surgical repair of an aortic esophageal fistula in the setting of an aortic dissection.

Sneha Thandra, Olivia Fuson, Victor Pretorius, Mark Onaitis, Mark Kearns, Ann Gaffey

Abstract readCase Reports
In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sneha ThandraDivision of Vascular and Endovascular Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.
Olivia FusonDivision of Vascular and Endovascular Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.
Victor PretoriusDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.
Mark OnaitisDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.
Mark KearnsDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.
Ann GaffeyDivision of Vascular and Endovascular Surgery, Department of Surgery, University of California at San Diego, San Diego, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aortoesophageal fistula is a rare but fatal complication commonly arising from thoracic aortic aneurysms or secondarily from thoracic endovascular aortic repair. Management remains challenging with few reports of durable repair. We present a 52-year-old woman with prior type A aortic dissection repair who developed persistent pain requiring arch replacement and thoracic endovascular aortic repair. She presented 4 months later with sepsis and imaging revealing extraluminal gas consistent with aortoesophageal fistula. She underwent graft explantation, debridement, and esophageal resection with delayed esophagostomy. Thirty months postoperatively, she remains stable. This case highlights early recognition and aggressive staged surgical management as critical for favorable outcomes.

Indexed as

Aortic dissectionTAADTEVARThoracic endovascular aortic repairThoracic to aortic esophageal fistulasType A aortic dissection

Identifiers

PMID41458301
PMCPMC12741293

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.