Salvage Esophagectomy After Atrioesophageal Repair

Tyler R Grenda; Kiran H Lagisetty

doi:10.1016/j.athoracsur.2019.11.062

Salvage Esophagectomy After Atrioesophageal Repair

Ann Thorac Surg. 2020 Aug;110(2):e111-e113. doi: 10.1016/j.athoracsur.2019.11.062. Epub 2020 Jan 24.

Authors

Tyler R Grenda¹, Kiran H Lagisetty²

Affiliations

¹ Division of Thoracic Surgery, Sidney Kimmel Medical College, Philadelphia, Pennsylvania. Electronic address: tyler.grenda@jefferson.edu.
² Section of Thoracic Surgery, University of Michigan, Ann Arbor, Michigan.

PMID: 31987830
DOI: 10.1016/j.athoracsur.2019.11.062

Abstract

Atrioesophageal fistula is a rare but highly morbid complication after endovascular ablation for atrial fibrillation. We report the case of a 63-year-old man with an atrioesophageal fistula after ablation who presented with neurologic symptoms and underwent emergent repair. He subsequently sustained a leak from the esophageal repair requiring emergent esophagectomy with end-esophagostomy. After several months, the patient underwent re-establishment of gastrointestinal continuity via retrosternal gastric conduit reconstruction.

Publication types

Case Reports

MeSH terms

Atrial Fibrillation / surgery*
Esophageal Fistula / surgery*
Esophagectomy*
Fistula / surgery*
Heart Atria*
Heart Diseases / surgery*
Humans
Male
Middle Aged
Postoperative Complications / surgery*
Salvage Therapy