Surgical Repair of Atrial-Esophageal Fistula Following Catheter Ablation.

Shimamura, Junichi; Moussa, Fuad; Tarola, Christopher; Christakis, George; Cohen, Gideon; Fremes, Stephen; Rezaei, Reza M; Simone, Carmine et al. · Ann Thorac Surg · 2022

case_report · Level V

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Abstract

Left atrial-esophageal fistula after radiofrequency ablation for atrial fibrillation is a rare and potentially lethal complication. Although surgical management is associated with improved outcomes, the optimal approach remains to be elucidated. We describe a case of atrial-esophageal fistula treated with a simultaneous repair of the atrium and esophagus via a right thoracotomy with an extrapericardial off-pump approach.

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