Esophageal-Atrial Fistula
- 1 June 1987
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Clinical Gastroenterology
- Vol. 9 (3) , 345-349
- https://doi.org/10.1097/00004836-198706000-00021
Abstract
We report an unusual case of an esophageal-atrial fistula in a patient with CREST (calcinosis, Raynaud's phenomenon, esophagitis, sclerodactyly, telangiectasia) variant of scleroderma. An ulcer in Barrett's esophagus perforated into the left atrium and led to systemic embolization and cerebral abscess. A review of similar reports of esophageal-atrial fistula reveals a symptom complex that includes chronic esophageal pathology, gastrointestinal bleeding, and neurological signs. An antemortem diagnosis has never been made.Keywords
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