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Ann Thorac Surg 2007;84:648-650
© 2007 The Society of Thoracic Surgeons

Case Reports

Esophageal-Left Atrial Fistula: Intraoperative Diagnosis and Management

Minh-Tri Jean-Pierre Nguyen, MDa, Sébastien Trop, MD, PhDa, Constantine Soulellis, MDb, Peter Szego, MD, FRCPCb, Lorenzo E. Ferri, MD, FRCSCa,*

a Division of Thoracic Surgery, McGill University, Montreal, Quebec, Canada
b Division of Gastroenterology, McGill University, Montreal, Quebec, Canada

Accepted for publication February 28, 2007.

* Address correspondence to Dr Ferri, Montreal General Hospital, Room L9-112, 1650 Cedar Ave, Montreal, Quebec, H3G 1A4, Canada (Email: lorenzo.ferri{at}muhc.mcgill.ca).

Nontraumatic esophageal-atrial fistulas are usually fatal and are diagnosed postmortem. We report a rare case of intraoperative diagnosis and successful surgical management of an esophageal-left atrial fistula in a 70-year-old woman with a history of brachytherapy, radiotherapy, and chemotherapy for esophageal cancer who presented with progressive dysphagia and hematemesis.






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