PMC10089772_01
Cross-sectional image of CT scan with IV contrast demonstrating the atrio-esophageal defect. LA: left atrium; Ao: Aorta; arrow: extraluminal air adjacent to the esophagus.
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fig1
A CT chest with contrast was repeated and redemonstrated intra-atrial air locule adherent to the posterior wall of the left atrium continuing through the wall and the posterior mediastinal paraesophageal soft tissues (Figure 1).
Left atrial vegetation.
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fig2
Intraoperative findings were significant for a 4 cm x 1.5 cm vegetation in the left atrium at the base of the endocardial defect (Figures 2 and 3).
4 x 1.5 cm vegetation resected from the posterior left atrial wall.
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fig3
Intraoperative findings were significant for a 4 cm x 1.5 cm vegetation in the left atrium at the base of the endocardial defect (Figures 2 and 3).
Esophageal injury. Eso: Esophagus. Arrow: 2 x 1.5 defect.
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She underwent a right thoracotomy and closure of the esophageal and epicardial defect with an intercostal muscle flap (Figure 4).