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Ann Thorac Surg 2006;81:356-358
© 2006 The Society of Thoracic Surgeons

Case report

Gastropericardial Fistula, Purulent Pericarditis, and Cardiac Tamponade After Laparoscopic Nissen Fundoplication

Eero I. T. Sihvo, MD, PhD, Jari V. Räsänen, MD, Marja Hynninen, MD, PhD, Tuomo K. Rantanen, MD, PhD, Jarmo A. Salo, MD, PhD *

Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication August 23, 2004.

* Address correspondence to Dr Salo, Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, PO Box 340, Helsinki, FIN-00029 HUS Finland (Email: jarmo.salo{at}hus.fi).

Gastropericardial fistula, purulent pericarditis, and cardiac tamponade developed 7 years after laparoscopic Nissen fundoplication. The patient was successfully managed through a thoracotomy by open drainage of the pericardium, excision and closure of the fistula, and an omentum flap.




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