Evidence map›Paper›PMID 42890652›Full record

ArticleJTCVS techniques2026

Establishment of a feasible surgical strategy for aortoesophageal fistula.

Katsuhiro Yamanaka, Kenji Okada, Kazunori Sakaguchi, Tasuku Okada, Hironaga Shiraki, Ryo Kawabata, Jun Karaki, Yasufumi Koterazawa, Noriko Oyama, Soichiro Henmi and 3 more

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Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Katsuhiro YamanakaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Kenji OkadaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Kazunori SakaguchiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Tasuku OkadaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Hironaga ShirakiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Ryo KawabataDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Jun KarakiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Yasufumi KoterazawaDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Noriko OyamaDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Soichiro HenmiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Hironobu GotoDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Hiroaki TakahashiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University, Kobe, Japan.
Yutaka OkitaCardio-Aortic Center, Takatsuki General Hospital, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Aortoesophageal fistula (AEF) represents one of the most challenging and devastating complications in aortic surgery. This study aimed to evaluate the feasibility, technical considerations, and clinical outcomes of our standardized multidisciplinary strategy for AEF, which has been consistently applied since 2008. Methods: This retrospective study included 21 patients with AEF who underwent open surgery from January 2008 to September 2025. The primary end point was freedom from infection-related death, reflecting the central role of infection control in AEF management. Secondary end points included hospital mortality, overall survival, and the esophageal reconstruction rate. Results: The mean age was 69.3 ± 11.2 years. Hospital mortality after open surgery was 26.9%. The 10-year overall survival and freedom from infection-related death were 38.4 ± 13.2% and 89.7 ± 6.8%, respectively. After implementation of our current standardized strategy in 2008, no recurrent infections were observed, and 10 patients successfully completed reconstruction. Conclusions: Although hospital mortality remains substantial, long-term outcomes were favorable. The current multidisciplinary surgical strategy was associated with improved infection-related outcomes, with no recurrent infections observed.

Indexed as

aortic infectionaortic surgerygraft infectionstent graft

Identifiers

PMID42890652
PMCPMC13673975

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