title: Gastropericardial fistula, purulent pericarditis, and cardiac tamponade after laparoscopic Nissen fundoplication.
abstract: Gastropericardial fistula, purulent pericarditis, and cardiac tamponade developed 7 years after laparoscopic Nissen fundoplication. The patient was successfully managed through a thoracotomy by open drainage of the pericardium, excision and closure of the fistula, and an omentum flap.
authors.affiliation: Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Eero I T
authors.initials: EI
authors.lastname: Sihvo
authors.forename: Jari V
authors.initials: JV
authors.lastname: Räsänen
authors.forename: Marja
authors.initials: M
authors.lastname: Hynninen
authors.forename: Tuomo K
authors.initials: TK
authors.lastname: Rantanen
authors.forename: Jarmo A
authors.initials: JA
authors.lastname: Salo
mesh_terms: D002305:Cardiac Tamponade / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology; D005402:Fistula / Q000209:etiology*; D018662:Fundoplication; D005747:Gastric Fistula / Q000209:etiology*; D005764:Gastroesophageal Reflux / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D010493:Pericarditis / Q000209:etiology* / Q000382:microbiology; D010496:Pericardium; D011183:Postoperative Complications / Q000209:etiology*; D013276:Stomach Ulcer / Q000150:complications; D013290:Streptococcal Infections / Q000150:complications; D013524:Surgical Flaps; D013997:Time Factors; D034363:Viridans Streptococci