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Esophageal-Left Atrial Fistula: Intraoperative Diagnosis and Management  Minh-Tri Jean-Pierre Nguyen, MD, Sébastien Trop, MD, PhD, Constantine Soulellis,

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Presentation on theme: "Esophageal-Left Atrial Fistula: Intraoperative Diagnosis and Management  Minh-Tri Jean-Pierre Nguyen, MD, Sébastien Trop, MD, PhD, Constantine Soulellis,"— Presentation transcript:

1 Esophageal-Left Atrial Fistula: Intraoperative Diagnosis and Management 
Minh-Tri Jean-Pierre Nguyen, MD, Sébastien Trop, MD, PhD, Constantine Soulellis, MD, Peter Szego, MD, FRCPC, Lorenzo E. Ferri, MD, FRCSC  The Annals of Thoracic Surgery  Volume 84, Issue 2, Pages (August 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Upper gastrointestinal double contrast barium study revealing a small traction diverticulum in the mid-lower esophagus (arrowhead). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Upper endoscopy demonstrating a stenotic ulcerated lesion at the lower third of the esophagus representing the esophageal-left atrial fistula later confirmed intraoperatively (arrowhead). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 After repair of the esophageal-left atrial fistula, the left atrium is being retracted to expose the 4-0 polypropylene pursestring suture used to exclude the weakened atrial wall. (LA = left atrium; LMB = left main bronchus; RLL = right lower lobe; RMB = right main bronchus; white arrow = pericardial edge; white arrowhead = 4-0 polypropylene pursestring suture excluding the weakened atrial wall.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

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