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Updated: Dec 30, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
Salvage Esophagectomy After Atrioesophageal Repair
Tyler R Grenda1, Kiran H Lagisetty2
1Division of Thoracic Surgery, Sidney Kimmel Medical College, Philadelphia, Pennsylvania.
Abstract:
Atrioesophageal fistula is a rare but highly morbid complication after endovascular ablation for atrial fibrillation. We report the case of a 63-year-old man with an atrioesophageal fistula after ablation who presented with neurologic symptoms and underwent emergent repair. He subsequently sustained a leak from the esophageal repair requiring emergent esophagectomy with end-esophagostomy. After several months, the patient underwent re-establishment of gastrointestinal continuity via retrosternal gastric conduit reconstruction.
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