Cardiac Tamponade Secondary to Esophagopericardial Fistula

Overview

Journal Tex Heart Inst J

Specialty Cardiology & Vascular Diseases

Date 2024 Dec 5

PMID 39635260

Authors

Caitlin T Perez-Stable

Lauren T Callaghan

Christopher K Wong

Jorge M Escobar

Mahboob Alam

Affiliations

Soon will be listed here.

Abstract

Esophagopericardial fistulas are an extremely rare structural defect that may arise from malignant or iatrogenic etiologies. This article reports the case of a patient with cardiac tamponade secondary to hydropneumopericardium from esophagopericardial fistula. Given the high morbidity and mortality of this condition, this article describes challenges in diagnosis and clinical decision-making to improve early identification and interdisciplinary management.

References

Kapur S, Barbhaiya C, Deneke T, Michaud G . Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation. Circulation. 2017; 136(13):1247-1255. DOI: 10.1161/CIRCULATIONAHA.117.025827. View

Hihara J, Hamai Y, Emi M, Murakami Y, Kenjo M, Nagata Y . Role of definitive chemoradiotherapy using docetaxel and 5-fluorouracil in patients with unresectable locally advanced esophageal squamous cell carcinoma: a phase II study. Dis Esophagus. 2015; 29(8):1115-1120. DOI: 10.1111/dote.12433. View

Vakamudi S, Ho N, Cremer P . Pericardial Effusions: Causes, Diagnosis, and Management. Prog Cardiovasc Dis. 2017; 59(4):380-388. DOI: 10.1016/j.pcad.2016.12.009. View

Guan X, Liu C, Zhou T, Ma Z, Zhang C, Wang B . Survival and prognostic factors of patients with esophageal fistula in advanced esophageal squamous cell carcinoma. Biosci Rep. 2020; 40(1). PMC: 6960064. DOI: 10.1042/BSR20193379. View

Sylvin E, Jassar A, Kucharczuk J, Vallabhajosyula P . Pericardial-Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation. Thorac Cardiovasc Surg Rep. 2022; 11(1):e27-e29. PMC: 8901371. DOI: 10.1055/s-0041-1736209. View

Awadelkarim A, Shanah L, Ali M, Alhusain R, Adam O, Subahi A . Esophago-Pericardial Fistulae as a Sequela of Boerhaave Syndrome and Esophageal Stenting: A Case Report and Review of Literature. J Investig Med High Impact Case Rep. 2021; 9:23247096211036540. PMC: 8326610. DOI: 10.1177/23247096211036540. View

Sihvo E, Rasanen J, Hynninen M, Rantanen T, Salo J . Gastropericardial fistula, purulent pericarditis, and cardiac tamponade after laparoscopic Nissen fundoplication. Ann Thorac Surg. 2005; 81(1):356-8. DOI: 10.1016/j.athoracsur.2004.08.048. View

Balakrishnan A, Tapias L, Wright C, Lanuti M, Gaissert H, Mathisen D . Surgical Management of Post-Esophagectomy Tracheo-Bronchial-Esophageal Fistula. Ann Thorac Surg. 2018; 106(6):1640-1646. DOI: 10.1016/j.athoracsur.2018.06.076. View

Farkas Z, Pal S, Jolly G, Lim M, Malik A, Malekan R . Esophagopericardial Fistula and Pneumopericardium From Caustic Ingestion and Esophageal Stent. Ann Thorac Surg. 2018; 107(3):e207-e208. DOI: 10.1016/j.athoracsur.2018.06.087. View

10.

Kaufman J, Thongsuwan N, Stern E, Karmy-Jones R . Esophageal-pericardial fistula with purulent pericarditis secondary to esophageal carcinoma presenting with tamponade. Ann Thorac Surg. 2003; 75(1):288-9. DOI: 10.1016/s0003-4975(02)04168-1. View

11.

Seo J, Park J, Jeong S . Pericardial-esophageal Fistula Complicating Atrial Fibrillation Ablation Successfully Resolved after Pericardial Drainage with Conservative Management. Korean Circ J. 2017; 47(6):970-977. PMC: 5711689. DOI: 10.4070/kcj.2016.0364. View

12.

Khader Y, Ghazaleh S, Nehme C, Burlen J, Nawras A . Esophagopericardial Fistula After Esophagectomy. Cureus. 2021; 13(3):e13753. PMC: 8023974. DOI: 10.7759/cureus.13753. View

13.

Denglos P, Nuytens F, Piessen G . Oesophageal-pericardial fistula: a rare complication of radiation-induced oesophagitis. Eur J Cardiothorac Surg. 2020; 58(5):1097-1099. DOI: 10.1093/ejcts/ezaa173. View

14.

Eitel C, Rolf S, Zachaus M, John S, Sommer P, Bollmann A . Successful nonsurgical treatment of esophagopericardial fistulas after atrial fibrillation catheter ablation: a case series. Circ Arrhythm Electrophysiol. 2013; 6(4):675-81. DOI: 10.1161/CIRCEP.113.000384. View

15.

Cyrlak D, Cohen A, Dana E . Esophagopericardial fistula: causes and radiographic features. AJR Am J Roentgenol. 1983; 141(1):177-9. DOI: 10.2214/ajr.141.1.177. View

16.

Navarro P, Heras M, Miro J, Mateu M . [Cardiac tamponade as the first manifestation of carcinoma of the esophagus]. Med Clin (Barc). 1992; 98(17):661-2. View

17.

Hoit B . Pericardial disease and pericardial tamponade. Crit Care Med. 2007; 35(8 Suppl):S355-64. DOI: 10.1097/01.CCM.0000271159.84639.2B. View

18.

Imazio M, De Ferrari G . Cardiac tamponade: an educational review. Eur Heart J Acute Cardiovasc Care. 2020; 10(1):102–109. DOI: 10.1177/2048872620939341. View

19.

Sagrista-Sauleda J, Merce A, Soler-Soler J . Diagnosis and management of pericardial effusion. World J Cardiol. 2011; 3(5):135-43. PMC: 3110902. DOI: 10.4330/wjc.v3.i5.135. View

20.

Takayama T, Okura Y, Funakoshi K, Sato T, Ohi H, Kato T . Esophageal cancer with an esophagopericardial fistula and purulent pericarditis. Intern Med. 2013; 52(2):243-7. DOI: 10.2169/internalmedicine.52.8673. View