Beating heart surgical treatment of a post-radiofrequency ablation atrio-esophageal fistula of atrial fibrillation

被引：0

作者：

Di Lazzaro, Davide ^{[1
,2
]}

Pantanella, Romina ^{[1
]}

Berti, Valeria ^{[1
]}

Da Col, Uberto ^{[1
]}

机构：

[1] Azienda Osped Perugia, Osped Santa Maria Misericordia, SC Cardiochirurg, Perugia, Italy

[2] Osped Santa Maria Misericordia, SC Cardiochirurg, Piazzale Giorgio Menghini 3, I-06129 Perugia, Italy

来源：

GIORNALE ITALIANO DI CARDIOLOGIA | 2024年 / 25卷 / 01期

关键词：

Adverse effects; Atrio-esophageal fistula; Catheter ablation; Surgery; CATHETER ABLATION; PREVALENCE; MANAGEMENT;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrio-esophageal fistula (AEF) is a rare (0.02-0.1%) complication of radiofrequency ablation for atrial fibrillation and is associated with high mortality. It typically presents between 2 and 6 weeks after catheter ablation. AEF was reported to be the second complication as cause of death after radiofrequency ablation with a mortality rate of 71%. Common clinical features of AEF include dysphagia, nausea, heartburn, hematemesis or melena, high fever, sepsis, pericardial or pleural effusions, mediastinitis, seizures, and stroke. Once the diagnosis of AEF is made, early surgical repair is mandatory. Herein, we report a case of a AEF treated surgically without extracorporeal circulation.

引用

页数：3

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