Vacumm Therapy As Rescue Treatment for Uncontrollable Sepsis after Endovascular Treatment of Aertoesophageal Fistula

Aims To prove the usefulness of vacuum therapy in the treatment of uncontrolled sepsis and the repair of esophageal gap due to AEF. Aortoesophageal fistula (AEF) is a life threatening disease due to massive gastrointestinal bleeding. Thoracic endovascular aortic repair (TEVAR) is the standard of care since achieves hemostasia. However, mortality is very high and is associated to sepsis secondary to mediastinitis.