Severe Gastroparesis After Ablation for Atrial Fibrillation

被引：1

作者：

Tanabe, Junya ^{[1
]}

Shimizu, Ayaka ^{[1
]}

Watanabe, Nobuhide ^{[1
]}

Endo, Akihiro ^{[1
]}

Tanabe, Kazuaki ^{[1
]}

机构：

[1] Shimane Univ, Fac Med, Cardiol, Izumo, Shimane, Japan

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 06期

关键词：

ablation; atrial fibrillation; gastroparesis; mosapride citrate; CATHETER ABLATION;

D O I：

10.7759/cureus.8610

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 70-year-old man was treated with catheter ablation for symptomatic paroxysmal atrial fibrillation (AF). The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radiography and plain abdominal computed tomography revealed gastric distension and massive accumulation of food residues. Esophagogastroduodenoscopy after fasting for two days revealed no organic stricture; food residues were retained in the stomach but not in the duodenum, suggesting gastroparesis. The most likely mechanism underlying gastroparesis associated with AF ablation is collateral periesophageal vagal nerve injury. Mosapride citrate is considered effective for symptoms.

引用

页数：6

共 6 条

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