Citation: Journal of Vascular Surgery Cases & Innovative Techniques. 6(3):313-316, 2020 Sep..Journal: Journal of vascular surgery cases and innovative techniques.Published: ; 2020ISSN: 2468-4287.Full author list: Dunphy KM; Ulloa JG; Benharash P; Lee J; Baril DT.UI/PMID: 32637758.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Case ReportsOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1016/j.jvscit.2019.11.008 (Click here)Abbreviated citation: J Vasc Surg Cases Innov Tech. 6(3):313-316, 2020 Sep.Abstract: Aortoesophageal fistula (AEF) is a rare complication of esophageal interventions. We present a 49-year-old woman who underwent Roux-en-Y gastric bypass with a recurrent gastrojejunal anastomotic leak requiring covered esophageal stent placement. She presented 1 month later with abdominal pain, leukocytosis, and hematemesis. A computed tomography scan demonstrated migration of the esophageal stent with aortic erosion concerning for AEF. She underwent emergent endovascular exclusion of an AEF to the descending thoracic aorta with subsequent esophageal resection and diversion and aortic endograft explant, resection, and homograft repair on postoperative day 6 allowing for staged removal of prosthetic material and maintenance of inline flow. Copyright (c) 2019 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.