case_images: PMC10089772_01
case_images: 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.
case_images: CRICC2023-3930221.001.jpg
case_images: PMC10089772_01_CRICC2023-3930221.001.jpg
case_images: fig1
case_images: 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).
case_images: Left atrial vegetation.
case_images: CRICC2023-3930221.002.jpg
case_images: PMC10089772_01_CRICC2023-3930221.002.jpg
case_images: fig2
case_images: 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).
case_images: 4 x 1.5 cm vegetation resected from the posterior left atrial wall.
case_images: CRICC2023-3930221.003.jpg
case_images: PMC10089772_01_CRICC2023-3930221.003.jpg
case_images: fig3
case_images: 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).
case_images: Esophageal injury. Eso: Esophagus. Arrow: 2 x 1.5 defect.
case_images: CRICC2023-3930221.004.jpg
case_images: PMC10089772_01_CRICC2023-3930221.004.jpg
case_images: fig4
case_images: She underwent a right thoracotomy and closure of the esophageal and epicardial defect with an intercostal muscle flap (Figure 4).