Left atrial-esophageal fistula is a highly lethal complication of ablative therapy for atrial fibrillation. Because of its unusual rate of occurrence, there has not been a uniform approach to either the diagnosis or corrective therapy. We offer 1 such surgical option based on presumptive and early diagnosis-left atrial repair with cardiopulmonary bypass followed by repair of the esophagus with an omental wrap and supported with decompressive gastrostomy and feeding jejunostomy.

译文

左心房-食管瘘是房颤消融治疗的高致死性并发症。由于其异常的发生率,因此没有一种统一的方法来进行诊断或纠正治疗。我们提供1种基于推定和早期诊断的手术选择-体外循环左心房修复,然后用网膜包裹修复食道,并辅以减压胃造口术和喂养空肠造口术。

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