Late-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or Pericardioesophageal fistula. If the diagnosis is delayed, mortality will be inevitable.
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http://dx.doi.org/10.1002/ccr3.4844 | DOI Listing |
Pacing Clin Electrophysiol
January 2025
Department of Cardiology, University Hospital of Patras, Rion-Patras, Greece.
Esophageal injury is a serious complication following atrial fibrillation catheter ablation procedures. It may manifest as atrio-esophageal fistula, pericardio-esophageal fistula (PEF), or restricted perforation, with high mortality rate if left unoperated. Chest computed tomography with intravenous contrast is the mainstay of diagnosis; however, a definite imaging diagnosis is often delayed and may worsen patient outcomes.
View Article and Find Full Text PDFJACC Clin Electrophysiol
June 2024
Clinic for Invasive Electrophysiology/Cardiology, Heart Center Bad Neustadt, Bad Neustadt, Germany.
J Surg Case Rep
March 2024
Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL 60605, USA.
Pericardioesophageal fistula is an uncommon, yet serious complication that can occur after left atrial ablation for cardiac arrhythmias. Timing of this complication is variable; however, it has been reported to occur from a week to over a month post-ablation. The incidence of this complication after ablation is <0.
View Article and Find Full Text PDFJ Card Surg
December 2022
Department of Cardio-Thoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Background And Aim Of The Study: An atrioesophageal fistula is a devastating complication of ablation for atrial fibrillation. For the surgeon facing this dreaded complication, it may be a 'once in a lifetime' case. This review aims to describe the clinical problem and evaluate the outcome of different surgical techniques to start guiding cardiothoracic surgeons toward those which offer the best chance of survival.
View Article and Find Full Text PDFLate-onset chest pain, dysphagia, or endocarditis-like symptoms after atrial fibrillation ablation could be an alarm for fatal complications as Esophagoatrial or Pericardioesophageal fistula. If the diagnosis is delayed, mortality will be inevitable.
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