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J Thorac Cardiovasc Surg 2005;130:1711-1712
© 2005 The American Association for Thoracic Surgery
Brief Communications |
a Pediatric Cardiac Surgery Unit, Pediatric Cardiology Unit
b Pediatric Intensive Care Unit,
c San Vincenzo Hospital, Taormina, Italy
Received for publication June 13, 2005; accepted for publication July 7, 2005. * Address for reprints: Salvatore Agati, MD, Pediatric Cardiac Surgery Unit, San Vincenzo Hospital, Contrada Sirina, 98039, Taormina (Messina), Italy (Email: sasha.agati@tiscali.it).
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Foreign body ingestion in the upper digestive tract is a common problem for children and adults. Estimated annual incidence in the United States is about 120 per million inhabitants, with approximately 1500 deaths each year.
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Foreign body ingestion can cause perforation of the thoracic esophagus, and it must be part of the differential diagnosis along with pleuritis, pericarditis, and pancreatitis. A prompt and aggressive nonoperative approach of esophageal perforations in children allows survival and conservation of the organ and its function in most cases and should remain the first therapeutic choice for young patients. We report the case of an infant with acquired pericardial-esophageal fistula complicated by low cardiac output syndrome.
Clinical Summary
A 15-month-old baby was transferred to our department on an emergency basis because of clinical signs of low cardiac output syndrome after abdominal surgery for foreign body removal. She had been admitted to the referring hospital for accidental
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