An Esophagopleural Fistula Related to Cardiopulmonary Resuscitation

Donia Mafi; Stéphane Legriel; Clément Charbonnel; Kamel Benghalia; Catalin Zavastin; Matthieu Glorion; Marine Paul

doi:10.1016/j.jaccas.2023.101769

An Esophagopleural Fistula Related to Cardiopulmonary Resuscitation

JACC Case Rep. 2023 Feb 13:11:101769. doi: 10.1016/j.jaccas.2023.101769. eCollection 2023 Apr 5.

Authors

Donia Mafi¹, Stéphane Legriel^{1

2

3}, Clément Charbonnel⁴, Kamel Benghalia⁵, Catalin Zavastin⁶, Matthieu Glorion⁷, Marine Paul^{1

2}

Affiliations

¹ Intensive Care Unit, Centre Hospitalier de Versailles-Site André Mignot, Le Chesnay, France.
² After Return of Spontaneous Circulation Study Group, Paris, France.
³ University Paris-Saclay, Université de Versailles Saint Quentin, Institut national de la santé et de la recherche médicale, Centre de Recherche en Epidémiologie et Santé des Populations, Team "PsyDev," Villejuif, France.
⁴ Cardiology Department, Centre Hospitalier de Versailles-Site André Mignot, Le Chesnay Cedex, France.
⁵ Gastroenterology Department, Centre Hospitalier de Versailles-Site André Mignot, Le Chesnay Cedex, France.
⁶ Radiology Department, Centre Hospitalier de Versailles-Site André Mignot, Le Chesnay Cedex, France.
⁷ Thoracic Surgery Department, Hôpital Foch, Suresnes, France.

Abstract

We describe a previously unreported and potentially fatal complication of esophageal perforation following cardiopulmonary resuscitation in a 74-year-old man with cardiac arrest subsequent to ventricular tachycardia caused by ischemic heart disease. We discuss the importance of searching for severe traumatic complications. This description emphasizes presenting complaints, early recognition, and management strategies of such cases (Level of Difficulty: Intermediate).

Keywords: cardiac arrest; cardiopulmonary resuscitation; esophageal perforation; esophageal-pleural fistula; mechanical chest compression; traumatic injuries.

Publication types

Case Reports