Aortoesophageal fistula (AOF) is a rare pathology but often lethal disease with a high mortality rate [1]. No consensus exists about the management of this pathology but the current trend is in favour of an endovascular treatment. The limit of this approach is the need of a specific material and a trained and experimented practitioner, not available in every center. We reported the case of a patient who presented an AOF complicated by a hemorrhagic shock successfully treated by a simple aortic suture protected by a sternocleidomasoid muscle flap.