Document Detail


A delayed case of fatal atrioesophageal fistula following radiofrequency ablation for atrial fibrillation.
MedLine Citation:
PMID:  20102433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the case of a 61-year-old man with a fatal atrioesophageal fistula following radiofrequency ablation (RFA) for paroxysmal atrial fibrillation (PAF). Esophageal injury was first noted on computed tomography (CT) scan 10 days following RFA. Fistulization occurred 41 days following the procedure. This is a delayed time course in comparison with published reports. The patient declined intervention and we have serial CT imaging documenting the natural progression from ulceration to fistula. Although the patient was on acid suppression, he received 2 courses of corticosteroids, which may have contributed to the progression of his esophageal ulcer.
Authors:
Glynn W Gilcrease; Joseph B Stein
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-22
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  21     ISSN:  1540-8167     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  708-11     Citation Subset:  IM    
Affiliation:
Scripps Mercy Hospital, San Diego, California, USA. gwgilcrease@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / administration & dosage,  therapeutic use
Atrial Fibrillation / surgery*
Catheter Ablation / adverse effects*
Electrocardiography
Esophageal Fistula / etiology*,  radiography
Fatal Outcome
Heart Atria
Heart Injuries / etiology*,  radiography
Humans
Male
Middle Aged
Postoperative Complications / etiology*,  radiography
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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