» Articles » PMID: 15333097

Left Atrial-esophageal Fistula Following Radiofrequency Catheter Ablation of Atrial Fibrillation

Overview
Date 2004 Aug 31
PMID 15333097
Citations 59
Authors
Affiliations
Soon will be listed here.
Abstract

This report describes a fatal case of left atrial-esophageal fistula occurring in a 72-year-old man after a radiofrequency catheter ablation of paroxysmal atrial fibrillation. Catheter ablation was performed around the pulmonary vein using an 8-mm-tip electrode (60 W or 55 degrees C) guided by a 25-mm circular catheter. On day 22 of follow-up, the patient presented with seizures followed by hematemesis due to left atrial-esophageal fistula. His clinical condition deteriorated, and he died of speticemia. Thus, left atrial-esophageal fistula is a sever complication of radiofrequency catheter ablation of the left atrial posterior wall.

Citing Articles

Surveillance of esophageal injury after atrial fibrillation catheter ablation.

Ferraz A, Pisani C, Rivarola E, Wu T, Darrieux F, Scanavacca R J Interv Card Electrophysiol. 2024; .

PMID: 39436462 DOI: 10.1007/s10840-024-01922-8.


Be aware and hit hard and early: oesophageal lesions after atrial fibrillation ablation.

Tilz R, Heeger C Eur Heart J. 2023; 44(47):5006.

PMID: 37883705 PMC: 10719497. DOI: 10.1093/eurheartj/ehad692.


Reply: Procedural Characteristics and Medications to Prevent Sinus Node Artery Occlusion During Cardioneuroablation.

Rivarola E, Scanavacca M JACC Case Rep. 2023; 7:101720.

PMID: 36593765 PMC: 9803764. DOI: 10.1016/j.jaccas.2022.101720.


The esophagus going steady.

Baykaner T, Nguyen D J Cardiovasc Electrophysiol. 2022; 33(5):917-919.

PMID: 35274790 PMC: 9018585. DOI: 10.1111/jce.15448.


Catheter-related complications and mortality of atrial fibrillation ablation following introduction of contact force-sensing technology.

Akar J, Hummel J, Yao X, Sangaralingham L, Dhruva S, Dong J BMJ Surg Interv Health Technol. 2022; 2(1):e000058.

PMID: 35047796 PMC: 8647613. DOI: 10.1136/bmjsit-2020-000058.