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
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.