Gastroesophageal cardiac fistula due to perforation of an esophagogastric anastomotic ulcer into the left atrium.

A case of gastroesophageal cardiac fistula is presented. Resection of carcinoma of the gastroesophageal junction was followed by the development of a penetrating ulcer at the anastomosis site with perforation into the left atrium. Candida albicans was demonstrated growing along the tract. There was severe organizing fibrinous pericarditis and multiple microabscesses in the brain. No food emboli were found.