Gastropericardial fistula

A 57-year-old man with a history of coronary artery disease, diastolic heart failure, obstructive sleep apnea, chronic kidney disease, morbid obesity, 60 pack-year smoking history, and gastric bypass (performed 20 years ago) presented to an outside institution with severe chest pain, sepsis, and pneumopericardium. He had no other history of abdominal or thoracic surgery. He was readmitted for heart failure exacerbation and was subsequently transferred to our institution for a higher level of care and possible surgical management.
Source: Surgery - Category: Surgery Authors: Source Type: research