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Published on: April 17, 2020
Left atrio-esophageal fistula of a possibly iatrogenic aetiology
Piotr Arkuszewski1, Maciej Barzdo1, Stanisław Ostrowski2
1Department of Forensic Medicine, Medical University of Lodz, Poland.
Abstract:
The study presents an exceptionally rare case of an esophago-left atrial fistula, which was diagnosed during a forensic post-mortem examination. Due to complex nature of the disease and many attempts to cure the patient, the authors did not manage to identify the aetiology of the fistula. It was only implied that the fistula might have been a distant complication of intraoperative endocardial ablation or it might have appeared as a consequence of perforation of the esophageal wall or left atrial wall of the enlarged heart with the end of an intubation tube or nasogastric tube.
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