Novel Approach for Repair of a Left Atrial Esophageal Fistula After Radiofrequency Ablation

Herein we described a novel repair approach for a left atrial esophageal fistula. Complete mediastinal debridement and simultaneous primary repairs of the left atrial posterior wall and the esophagus were completed under a median sternotomy, central car-diopulmonary bypass, left atrial circular incision around four pulmonary veins, inflamed left atrial posterior wall removal, and posterior pericardial opening. (C) 2021 by The Society of Thoracic Surgeons