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食管-心包瘘和食管-心房瘘

Esophageal-Pericardial and Esophageal-Atrial Fistulae.

作者信息

Soegaard Ballester Jacqueline M, Kucharczuk John C

机构信息

Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4th Floor Silverstein, Philadelphia, PA 19104, USA.

Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4th Floor Silverstein, Philadelphia, PA 19104, USA.

出版信息

Thorac Surg Clin. 2024 Nov;34(4):395-403. doi: 10.1016/j.thorsurg.2024.05.003. Epub 2024 Jun 28.

DOI:10.1016/j.thorsurg.2024.05.003
PMID:39332864
Abstract

Fistulae between the esophagus and the pericardium or the left atrium are rare but feared complications of transcatheter ablations and esophageal procedures and pathologies. Patients may present variably with cardiopulmonary, gastrointestinal, infectious, and/or neurologic symptoms; a high index of suspicion is paramount. The presence of atrial involvement will dictate the approach and extent of the necessary intervention. While mortality is high overall, surgical repair confers the highest likelihood of survival.

摘要

食管与心包或左心房之间的瘘管是经导管消融术、食管手术及食管疾病罕见但可怕的并发症。患者可能出现心肺、胃肠道、感染和/或神经症状，表现各异；高度怀疑至关重要。心房受累的情况将决定必要干预措施的方法和范围。虽然总体死亡率很高，但手术修复是生存可能性最高的方法。

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