Conclusions
Definitive open repair was successfully performed in patients with
secondary AEF after total arch replacement. However, in the patients
with secondary AEF after TEVAR, severe adhesion between the aorta and
esophagus led to difficulty in performing a successful definitive open
repair. The strategy for secondary AEF should, therefore, be decided
considering the etiology of secondary AEF.
Keywords : secondary aortoesophageal fistula; thoracic
endovascular aortic repair; total arch replacement