Salvage Esophagectomy After Atrioesophageal Repair.

Grenda, Tyler R; Lagisetty, Kiran H · Ann Thorac Surg · 2020

case_report · Level V

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Abstract

Atrioesophageal fistula is a rare but highly morbid complication after endovascular ablation for atrial fibrillation. We report the case of a 63-year-old man with an atrioesophageal fistula after ablation who presented with neurologic symptoms and underwent emergent repair. He subsequently sustained a leak from the esophageal repair requiring emergent esophagectomy with end-esophagostomy. After several months, the patient underwent re-establishment of gastrointestinal continuity via retrosternal gastric conduit reconstruction.

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