Elliot L. Servais, MD, Brendon M. Stiles, MD, Jason A

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Gastropericardial Fistula: A Late Complication of Esophageal Reconstruction  Elliot L. Servais, MD, Brendon M. Stiles, MD, Jason A. Spector, MD, Nasser K. Altorki, MD, Jeffrey L. Port, MD  The Annals of Thoracic Surgery  Volume 93, Issue 5, Pages 1729-1731 (May 2012) DOI: 10.1016/j.athoracsur.2011.09.075 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A), Axial computed tomographic scan demonstrates contrast-filled gastric conduit in the retrosternal location (yellow outline). (B) Fistulous connection is apparent between the gastric conduit and pericardium (yellow arrow). (C) Large rim-enhancing pericardial abscess (yellow arrow) secondary to the gastropericardial fistula. The Annals of Thoracic Surgery 2012 93, 1729-1731DOI: (10.1016/j.athoracsur.2011.09.075) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Contrast esophagram obtained on postoperative day 7 demonstrates an intact esophagogastric anastomosis without evidence of fistula or leak. The Annals of Thoracic Surgery 2012 93, 1729-1731DOI: (10.1016/j.athoracsur.2011.09.075) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions