INTRODUCTION
Aortoesophageal fistula (AEF) is a relatively rare condition that is
often life-threatening.1-3 Secondary AEF, a
complication of surgery in the posterior mediastinum such as open
repair, thoracic endovascular aortic repair (TEVAR), and esophageal
surgery, can be more critical than primary AEF, and the management can
be more challenging because of the presence of adhesion in the pleural
space and the poor general status of patients. The number of secondary
AEF is increasing due to increase in the number of TEVAR. Although there
have been few studies comparing post TEVAR and post graft replacement
secondary AEF cases, 4,5 secondary AEF after TEVAR can
be more critical than secondary AEF after graft replacement.