title: Gastropericardial fistula: a late complication of esophageal reconstruction.
abstract: Esophageal replacement for both benign and malignant diseases commonly uses gastric tube reconstruction. A rare but potentially life-threatening late complication is the formation of a gastropericardial fistula. We describe a case of gastropericardial fistula occurring more than 20 years after esophageal reconstruction for congenital esophageal atresia. We report our surgical strategy and review the key concepts in the management of this complication.
authors.affiliation: Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, New York 10021, USA.
authors.forename: Elliot L
authors.initials: EL
authors.lastname: Servais
authors.forename: Brendon M
authors.initials: BM
authors.lastname: Stiles
authors.forename: Jason A
authors.initials: JA
authors.lastname: Spector
authors.forename: Nasser K
authors.initials: NK
authors.lastname: Altorki
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Port
mesh_terms: D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004322:Drainage / Q000379:methods; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D004636:Emergency Service, Hospital; D004933:Esophageal Atresia / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D010496:Pericardium; D011026:Pneumopericardium / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013270:Stomach / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult