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(Chest. 1972;62:728-731.)
© 1972 American College of Chest Physicians

Esophagopericardial Fistula Presenting, as Cardiac Tamponade

Thomas G. Welch M.D.1; Thomas R. White M.D.1; Richard P. Lewis M.D.2; Pablo I. Altieri M.D.1; John S. Vasko M.D.3; and James W. Kilman M.D., F.C.C.P.3

1 Division of Cardiology, Department of Medicine and the Department of Thoracic Surgery, The Ohio State University College of Medicine, Columbus
2 Associate Professor of Medicine and Director, Division of Cardiology
3 Associate Professor of Surgery

A complete review of the literature revealed only 19 cases of esophagopericardial fistula. We add two cases of our own, both of which presented as cardiac tamponade. The etiologies have been traumatic, inflammatory and neoplastic. Only one patient has survived. Prodromal symptoms of esophageal disease when followed by clinical signs of cardiac tamponade should suggest this diagnosis. Pericardial drainage appears to be the most important aspect of treatment.




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 Eur. J. Cardiothorac. Surg.Home page
J. B. Choi, S. Y. Lee, and J. W. Jeong
Delayed diagnosis of purulent pericarditis caused by esophagopericardial fistula by computed tomography scan and echocardiography
Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1267 - 1269.
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