Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2017; 06(01): e22-e24
DOI: 10.1055/s-0037-1603989
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Gastrointestinal Bleed from a Left Ventricle to Colonic Interposition Graft Fistula following an Esophagectomy

Abdulwahab Al Khalifa
1   Division of Cardiac Surgery, The University of Toronto, Toronto, Canada
,
William Gourdin McMaster Jr.
2   Thoracic Surgery Resident, Vanderbilt University Medical Center, Nashville, TN
,
Colin Schieman
3   Division of Thoracic and Esophageal Surgery, McMaster University, Hamilton, Ontario, Canada
,
Richard Whitlock
4   Division of Cardiac Surgery, McMaster University, Hamilton, Ontario, Canada
,
Christopher Ricci
5   Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada
,
Matthew Danter
6   Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN
› Author Affiliations
Further Information

Publication History

27 February 2017

24 April 2017

Publication Date:
27 July 2017 (online)

   Permissions and Reprints

Abstract

Colonic interposition grafts are commonly used as an esophageal conduit following esophageal resection. Significant morbidity is associated with this reconstruction due to the nature of the operation. Many of the complications associated with this procedure have clear management strategies; however, there is a paucity of data when it comes to managing rare complications. In this report, we discuss the presentation, operative intervention, and postoperative care of a patient who presented with a left ventricle to esophageal colonic interposition graft fistula.

Keywords

left ventricle - colonic interposition graft - gastrointestinal bleed
 

  • References

  • 1 Young MM, Deschamps C, Trastek VF. , et al. Esophageal reconstruction for benign disease: early morbidity, mortality, and functional results. Ann Thorac Surg 2000; 70 (05) 1651-1655
    CrossrefPubMedGoogle Scholar
  • 2 Thomas P, Fuentes P, Giudicelli R, Reboud E. Colon interposition for esophageal replacement: current indications and long-term function. Ann Thorac Surg 1997; 64 (03) 757-764
    CrossrefPubMedGoogle Scholar
  • 3 Mansour KA, Bryan FC, Carlson GW. Bowel interposition for esophageal replacement: twenty-five-year experience. Ann Thorac Surg 1997; 64 (03) 752-756
    CrossrefPubMedGoogle Scholar
  • 4 Pantelides ML, Fitzgerald MD. Left ventriculo-colic fistula–a late complication of colonic interposition for the oesophagus. Postgrad Med J 1988; 64 (755) 710-712
    CrossrefPubMedGoogle Scholar
  • 5 Cooley DA. Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm. J Card Surg 1989; 4 (03) 200-205
    CrossrefPubMedGoogle Scholar
  • 6 Dor V, Saab M, Coste P, Kornaszewska M, Montiglio F. Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg 1989; 37 (01) 11-19
    Article in Thieme ConnectPubMedGoogle Scholar