Esophageal-Atrial Fistula

Lambert, David; Llaneza, Pedro P.; Gaglani, Rajesh D.; Lach, Ralph D.; Beaver, Wayne L.

doi:10.1097/00004836-198706000-00021

Cited by 16 publications

(6 citation statements)

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“…However, the fistula-like part perpendicular to the oesophagus was suspiciously like a connection between oesophagus and pulmonary venous system next to the left atrium, presumably resulting from the perforated Barret's ulcer or from biopsy of the ulcer. The formation of an oesophageal-left atrial fistula as a rare and often lethal complication of chronic oesophagitis like Barret's oesophagitis has already been described [6,8]. In our case, an inflammatory fistula formation seems more likely, as it could explain why the patient's state deteriorated just after both endoscopies with air-insufflation.…”

supporting

confidence: 49%

Bilateral cerebral air embolism

Weber

Fiebach

Lichy

et al. 2003

Journal of Neurology

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supporting

confidence: 49%

Bilateral cerebral air embolism

Weber

Fiebach

Lichy

et al. 2003

Journal of Neurology

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“…Life-threatening esophagobronchial fistula, tension pyopneumothorax, esophagoatrial and esophagoaortic fistulas and massive hemorrhage have been reported. Rarely Barrett esophagus may be associated with other conditions such as CREST (calcinosis, Raynaud phenomenon, esophagitis, sclerodactyly, and telangiectasia) that need to be checked for at autopsy (20)(21)(22)(23). Erosion into adjacent vessels may also be associated with carcinoma of the esophagus (Fig.…”

Section: Perforationmentioning

confidence: 99%

Esophageal Causes of Sudden and Unexpected Death

Byard

2006

Journal of Forensic Sciences

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Gastrointestinal conditions are uncommon causes of sudden and/or unexpected death as compared to cardiovascular diseases, motor vehicle trauma, or suicide, and may involve an array of fatal mechanisms. Lethal esophageal conditions are encountered even less often, the manifestations of which include acute upper airway occlusion from tumors or foreign material, intraluminal hemorrhage from vascular abnormalities, or perforation with fistula formation resulting in hemorrhage and sepsis. When encountered at autopsy, a particular condition may also be a manifestation of a disease that does not primarily involve the esophagus. For this reason, a detailed autopsy investigation is required for evidence of systemic or remote disease when lesions are found within the esophagus. In this report, possible life-threatening esophageal conditions are reviewed with a description of lethal mechanisms, mention of rare associated diseases, and comment on difficulties that may arise at autopsy in the evaluation of such cases.

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“…A perforation or a fistula as a severe complication of an oesophagus involvement has so far only been reported in single cases in DM or in other connective tissue diseases such as CREST syndrome or scleroderma. [6][7][8] A pneumomediastinum in DM has also been described previously. 9 It has been suggested that it may be associated with a vasculopathy, 9 pretreatment with corticosteroids or a pre-existing lung disease, 10 but its precise aetiopathogenesis remains unclear.…”

mentioning

confidence: 77%