An Esophagopleural Fistula Related to Cardiopulmonary Resuscitation

Donia Mafi, MD; Stéphane Legriel, MD, PhD; Clément Charbonnel, MD; Kamel Benghalia, MD; Catalin Zavastin, MD; Matthieu Glorion, MD; Marine Paul, MD

JACC: Case Reports (Apr 2023)

An Esophagopleural Fistula Related to Cardiopulmonary Resuscitation

Donia Mafi, MD,
Stéphane Legriel, MD, PhD,
Clément Charbonnel, MD,
Kamel Benghalia, MD,
Catalin Zavastin, MD,
Matthieu Glorion, MD,
Marine Paul, MD

Affiliations

Donia Mafi, MD: Intensive Care Unit, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay, France
Stéphane Legriel, MD, PhD: Intensive Care Unit, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay, France; After Return of Spontaneous Circulation Study Group, Paris, France; University Paris-Saclay, Université de Versailles Saint Quentin, Institut national de la santé et de la recherche médicale, Centre de Recherche en Epidémiologie et Santé des Populations, Team “PsyDev,” Villejuif, France
Clément Charbonnel, MD: Cardiology Department, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay Cedex, France
Kamel Benghalia, MD: Gastroenterology Department, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay Cedex, France
Catalin Zavastin, MD: Radiology Department, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay Cedex, France
Matthieu Glorion, MD: Thoracic Surgery Department, Hôpital Foch, Suresnes, France
Marine Paul, MD: Intensive Care Unit, Centre Hospitalier de Versailles–Site André Mignot, Le Chesnay, France; After Return of Spontaneous Circulation Study Group, Paris, France; Address for correspondence: Dr Marine Paul, Intensive Care Department, Centre Hospitalier de Versailles–Site André Mignot, 177 Rue de Versailles, 78150 Le Chesnay, France.

Journal volume & issue: Vol. 11
p. 101769

Abstract

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We describe a previously unreported and potentially fatal complication of esophageal perforation following cardiopulmonary resuscitation in a 74-year-old man with cardiac arrest subsequent to ventricular tachycardia caused by ischemic heart disease. We discuss the importance of searching for severe traumatic complications. This description emphasizes presenting complaints, early recognition, and management strategies of such cases (level of difficulty: Intermediate).

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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