Esophageal-left atrial fistula: intraoperative diagnosis and management.

Nguyen, Minh-Tri Jean-Pierre; Trop, Sébastien; Soulellis, Constantine; Szego, Peter; Ferri, Lorenzo E · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

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.

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