Esophageal-left atrial fistula: intraoperative diagnosis and management.
Nontraumatic esophageal-atrial fistulas are usually fatal and are diagnosed postmortem. We report a rare case of intraoperative diagnosis and successful surgical management of an esophageal-left atrial fistula in a 70-year-old woman with a history of brachytherapy, radiotherapy, and chemotherapy for esophageal cancer who presented with progressive dysphagia and hematemesis.
Nguyen
Minh-Tri Jean-Pierre
MT
Division of Thoracic Surgery, McGill University, Montreal, Quebec, Canada.
Trop
Sébastien
S
Soulellis
Constantine
C
Szego
Peter
P
Ferri
Lorenzo E
LE
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D004935:Esophageal Diseases / Q000175:diagnosis; D004937:Esophageal Fistula / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D016343:Monitoring, Intraoperative; D016896:Treatment Outcome; D014456:Ulcer / Q000175:diagnosis