Multidisciplinary therapy of a large esophago-pericardial fistula arising from Barrett's esophagus.
Esophago-pericardial fistula is a rare complication of benign esophageal pathologies. We present the case report of a patient with Barrett's esophagus complicated by an esophago-pericardial fistula managed by a multi-therapeutic approach to close the fistula using an autologous pericardial patch; placement of a coated, expandable, metallic esophageal stent; and a feeding jejunostomy.
Ali
Firas
F
Department of Thoracic and Cardiovascular Surgery, Henri Mondor Hospital, Créteil, France. matthias.kirsch@hmn.aphp.fr
Mostafa
Ahmed
A
Charachon
Antoine
A
Karoui
Mehdi
M
Loisance
Daniel
D
Kirsch
Matthias
M
D001471:Barrett Esophagus / Q000150:complications*; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D010496:Pericardium / Q000601:surgery / Q000637:transplantation*; D015607:Stents; D013249:Sternum / Q000601:surgery