Multidisciplinary therapy of a large esophago-pericardial fistula arising from Barrett's esophagus

Firas Ali; Ahmed Mostafa; Antoine Charachon; Mehdi Karoui; Daniel Loisance; Matthias Kirsch

doi:10.1016/j.athoracsur.2008.03.023

Multidisciplinary therapy of a large esophago-pericardial fistula arising from Barrett's esophagus

Ann Thorac Surg. 2008 Nov;86(5):1690-3. doi: 10.1016/j.athoracsur.2008.03.023.

Authors

Firas Ali¹, Ahmed Mostafa, Antoine Charachon, Mehdi Karoui, Daniel Loisance, Matthias Kirsch

Affiliation

¹ Department of Thoracic and Cardiovascular Surgery, Henri Mondor Hospital, Créteil, France. [email protected]

PMID: 19049782
DOI: 10.1016/j.athoracsur.2008.03.023

Abstract

Esophago-pericardial fistula is a rare complication of benign esophageal pathologies. We present the case report of a patient with Barrett's esophagus complicated by an esophago-pericardial fistula managed by a multi-therapeutic approach to close the fistula using an autologous pericardial patch; placement of a coated, expandable, metallic esophageal stent; and a feeding jejunostomy.

Publication types

Case Reports

MeSH terms

Barrett Esophagus / complications*
Esophageal Fistula / diagnosis
Esophageal Fistula / etiology*
Esophageal Fistula / surgery*
Humans
Jejunostomy
Male
Mediastinal Diseases / diagnosis
Mediastinal Diseases / etiology*
Mediastinal Diseases / surgery*
Middle Aged
Pericardium / surgery
Pericardium / transplantation*
Stents
Sternum / surgery