Gastropericardial fistula: A successfully operated heart code

Area of Science:

• Gastroenterology and Cardiology
• Surgical Case Review

Background:

• Gastropericardial fistula is a rare, life-threatening condition.
• Iatrogenic injury following gastric surgery is the most common cause.
• Symptoms can be non-specific, mimicking acute coronary syndrome.

Observation:

• An 81-year-old male presented with symptoms suggestive of gastropericardial fistula.
• Diagnosis was confirmed using thoracoabdominal computed tomography (CT) with contrast.
• The patient underwent surgical repair of the fistula.

Findings:

• Surgical intervention successfully repaired the anomalous gastropericardial communication.
• The case underscores the importance of timely diagnosis and surgical management.
• Review of diagnostic and therapeutic strategies is crucial for patient outcomes.

Implications:

• This case highlights the critical need for awareness of gastropericardial fistula in patients with relevant surgical history.
• Effective management relies on accurate diagnosis via CT imaging and prompt surgical repair.
• Understanding this rare condition improves clinical decision-making and patient survival rates.