Rescue Extracorporeal Bypass to Prevent Atrioesophageal Fistula-related Air Embolism.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31877286.
- Also identified by DOI 10.1016/j.athoracsur.2019.10.086.
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Abstract
Atrioesophageal fistula (AEF) is a rare but disastrous complication encountered after radiofrequency catheter ablation for atrial fibrillation or flutter. Furthermore cerebral air embolism due to AEF is considered a strong predictor of mortality. In our case a patient presented with AEF and cerebral air embolism. As a rescue effort ventricular fibrillation was induced and sustained under venoarterial extracorporeal membrane oxygenation support until emergency AEF repair was feasible. Herein we report the successful use of the above measures to prevent further air embolism in a patient with radiofrequency catheter ablation-related AEF.
Medical subject headings
- Catheter Ablation
- Embolism, Air
- Esophageal Fistula
- Extracorporeal Membrane Oxygenation
- Heart Diseases
- Postoperative Complications