Beating Total Arch Replacement for Aortoesophageal Fistula Involving the Aortic Arch

Aortoesophageal fistula is a challenging condition, especially when the aortic arch is involved. Optimal treatment, including surgical approach and adjunctive procedures for organ protection, remains debatable. We describe our strategy for treating aortoesophageal fistula involving the aortic arch using total arch replacement with the heart beating ("beating total arch replacement") under partial cardiopulmonary bypass.