Secondary aorto-esophageal fistula after thoracic aortic aneurysm endovascular repair treated by covered esophageal stenting

Figure 1 Chest radiography showed a widened mediastinum and tracheal deviation.

Figure 2 Computed tomography of the chest with intravenous contrast showed a saccular thoracic aortic aneurysm (5. 0 cm × 5.0 cm) (arrow). Pre (A) and post (B) TEVAR with surrounding hematoma compressing the trachea, esophagus and superior vena cava. TEVAR: Thoracic endovascular aortic repair.

Figure 3 Computed tomography demonstrating an aortoesophageal fistula (arrow).

Figure 4 Chest X-ray demonstrating migration of the esophageal stent to the level of the gastroesophageal junction (arrow).