Is it possible to treat aorto-esophageal fistula with endovascular management?

Management of aorto-esophageal fistula has no consensus, currently. Aorto-esophageal fistula remains a life-threatening condition and has high mortality and morbidity rates. Endovascular therapy is a favorable choice for thoracic aortic disease, in recent years. We present our experience initially managed with endovascular therapy, but there was a re-hemorrhage event with suboptimal results. Aortic bypass surgery and plastic surgery of the esophagus have been performed, subsequently. The aorto-esophageal fistula was finally resolved by surgical management. We conclude that endovascular therapy is a reasonable method for aorto-esophageal fistula in the acute hemorrhagic phase, but early treatment of an erosive esophagus is suggested to avoid further morbidity.