Introduction
Although rare, accidental ingestion of a fishbone leading to penetration of the esophagus is potentially fatal, and can result in complications such as major vascular trauma, significant hemorrhage, mediastinitis, and aortoesophageal fistula (AEF) [1]. Treatment of foreign body-induced AEF with aortic pseudoaneurysms should include repair of the damaged vessel and intensive use of antibiotic drugs, which still lacks standardization. We report the successful endovascular repair of a thoracic aortic pseudoaneurysm after esophageal perforation caused by accidental ingestion of a fishbone.