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The Journal of Thoracic and Cardiovascular Surgery, Vol 82, 83-87, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Successful management of esophagopericardial fistula complicating esophagogastrectomy

DM Shahian and CF Kittle

An anastomotic leak into the right pleural space developed following esophagogastrectomy for cancer in a 56-year-old patient. Subsequently, a similar fistula occurred into the pericardium. This was managed successfully by a modification of Abbott's T-tube technique, together with a pericardial window, multiple drainage tubes, systemic antibiotics, and hyperalimentation. The anastomotic disruption healed completely, with only minimal narrowing on repeat roentgenograms of the upper gastrointestinal tract. Only four survivors of this rare and highly lethal problem have been previously reported.





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Copyright © 1981 by The American Association for Thoracic Surgery.