{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:28:11Z","timestamp":1787776091146,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Esophageal pseudodiverticulum (EPD), a rare benign condition, is typified by the presence of outpouching flask-shaped lesions across the esophagus. EPD, often secondary to a motility dysfunction, is associated with various condition, however, has not be reported following mitral valve replacement (MVR). We report a case of a 45-year-old male with progressive dysphagia to solids and liquids over 1 month, along with regurgitation and vomiting. Twelve months ago, he had undergone thoracotomy for MVR. Physical examination revealed signs of malnutrition and epigastric tenderness. Upper gastrointestinal endoscopy revealed a fistulous opening, 33 cm from the incisors, in the lower esophagus. Moreover, endoscopic ultrasound suspected an esophageal fistula. Esophageal pH monitoring and esophageal manometry were normal. The patient underwent a right thoracotomy for diverticulum excision and primary esophageal repair. Postoperatively, the patient remained asymptomatic, with no recurrence of dysphagia at 18 months follow-up. Thus, our case highlights the importance of imaging in the diagnosis of EPD and demonstrates the effectiveness of thoracotomy in the resolution of symptoms with a favorable outcome.<\/jats:p>","DOI":"10.4103\/aam.aam_143_25","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T15:05:39Z","timestamp":1754319939000},"page":"695-698","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Thoracotomy for Esophageal Pseudodiverticulum Following Cardiac Surgery"],"prefix":"10.4103","volume":"25","author":[{"given":"Prabhat","family":"Nichkaode","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. DY Patil Hospital and Research Center, Pimpri-Chinchwad, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. DY Patil Hospital and Research Center, Pimpri-Chinchwad, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1159\/000517093","article-title":"Recurrent dysphagia associated with esophageal intramural pseudodiverticulosis","volume":"15","author":"Naqvi","year":"2021","journal-title":"Case Rep Gastroenterol"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1259\/0007-1285-33-392-496","article-title":"Intramural diverticulosis of the oesophagus and Rokitansky-Aschoff sinuses in the gall-bladder","volume":"33","author":"Mendl","year":"1960","journal-title":"Br J Radiol"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"137","DOI":"10.3748\/wjg.v30.i2.137","article-title":"Esophageal intramural pseudodiverticulosis","volume":"30","author":"Shintaku","year":"2024","journal-title":"World J 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literature","volume":"15","author":"Prasad","year":"2022","journal-title":"BMJ Case Rep"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"93","DOI":"10.5009\/gnl.2011.5.1.93","article-title":"Acase of esophageal intramural pseudodiverticulosis","volume":"5","author":"Chon","year":"2011","journal-title":"Gut Liver"},{"key":"R9-20260504","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1007\/s12328-019-00940-8","article-title":"Esophageal intramural pseudodiverticulosis complicated with severe stricture requiring surgical resection","volume":"12","author":"Onozato","year":"2019","journal-title":"Clin J Gastroenterol"},{"key":"R10-20260504","doi-asserted-by":"crossref","first-page":"34","DOI":"10.21037\/aoe-2019-ach-14","article-title":"Laparoscopic cardiomyotomy: Historical overview and current operative approach","volume":"3","author":"Rajdev","year":"2020","journal-title":"Ann Esophagus"},{"key":"R11-20260504","doi-asserted-by":"crossref","first-page":"759","DOI":"10.21037\/jtd-22-861","article-title":"Esophageal diverticula: From diagnosis to therapeutic management-narrative review","volume":"15","author":"Constantin","year":"2023","journal-title":"J Thorac Dis"}],"container-title":["Annals of African 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