Key result
FEVAR is linked to esophageal necrosis and perforation requiring emergent management.
Case Report (n=1)
Esophageal necrosis and perforation is a rare, high-mortality complication of FEVAR requiring a low threshold for emergent investigation and management.
Esophageal necrosis may complicate FEVAR; this Level 5 case leaves open its incidence and prevention strategies.
Fenestrated endovascular aneurysm repair (FEVAR) is a minimally invasive technique used to treat complex abdominal aortic aneurysms. We present the case of a 69-year-old man with a juxtarenal abdominal aortic aneurysm treated with FEVAR. The patient experienced postoperative dysphagia and sepsis. Investigations revealed a perforated esophagus due to esophageal ischemia and necrosis, leading to complete esophagectomy and subsequent esophageal reconstruction. This case highlights esophageal necrosis and perforation as a potential complication of FEVAR and serves as a reminder to have a low threshold for investigating and emergently managing this condition, which otherwise has a high mortality rate.
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Patel et al. (2020) conducted a case report in Juxtarenal abdominal aortic aneurysm (n=1). Fenestrated endovascular aneurysm repair (FEVAR) was evaluated on Esophageal necrosis and perforation. Fenestrated endovascular aneurysm repair (FEVAR) can be complicated by esophageal necrosis and perforation, requiring emergent investigation and management.
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