Interdisciplinary Management of the Emergency Treatment in an Atrioesophageal Fistula.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 34890569.
- Also identified by DOI 10.1016/j.athoracsur.2021.10.050.
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Abstract
The atrioesophageal fistula is a fulminant complication of radiofrequency ablation in atrial fibrillation, with a mortality as high as 80%. Surgical approaches have been insufficiently dealt with in literature. Treating a 42-year-old male patient, we developed an interdisciplinary two-step concept: (1) resection of the affected third of the esophagus and closing of the atrial defect using cardiopulmonary bypass and cardioplegic cardiac arrest; and (2) a second surgery to restore gastrointestinal continuity after an adequate term. Our patient has fully recovered.
Medical subject headings
- Atrial Fibrillation
- Catheter Ablation
- Esophageal Fistula