Gastro-Right Ventricular Fistula: A Deadly Complication of a Gastric Pull-Through

A 70-year-old patient presented with melena, dyspnea, and generalized weakness. An endoscopy revealed a deep ulcer with a pulsatile clot in the intrathoracic gastric tube that had been previously constructed for esophageal replacement. Shortly thereafter, the patient died of exsanguination secondary...

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Veröffentlicht in:	The Annals of thoracic surgery 2010-07, Vol.90 (1), p.297-299
Hauptverfasser:	Rana, Zeshan A., MD, Hosmane, Vinay R., MD, Rana, Nabeel R., MD, Emery, Donald L., MD, Goldenberg, Edward M., MD, Gardner, Timothy J., MD, FAHA
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anastomosis, Surgical - adverse effects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiology. Vascular system Cardiothoracic Surgery Esophageal Diseases - surgery Esophagectomy - adverse effects Esophagus - surgery Fatal Outcome Gastric Fistula - etiology Gastrointestinal Hemorrhage - etiology Heart Diseases - etiology Heart Ventricles Humans Male Medical sciences Pneumology Rupture - surgery Stomach - surgery Surgery
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Beschreibung
Zusammenfassung:	A 70-year-old patient presented with melena, dyspnea, and generalized weakness. An endoscopy revealed a deep ulcer with a pulsatile clot in the intrathoracic gastric tube that had been previously constructed for esophageal replacement. Shortly thereafter, the patient died of exsanguination secondary to a fistula between the stomach and the right ventricle. This complication presents a unique but deadly cause of gastrointestinal bleeding that mandates swift diagnosis and immediate surgical correction
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2009.11.042