Haemorrhagic cerebral air embolism from an atrio-oesophageal fistula following atrial fibrillation ablation

被引:5
|
作者
Koa-Wing, M. [1 ]
Jamil-Copley, S. [1 ]
Ariff, B. [1 ]
Kojodjojo, P. [1 ]
Lim, P. B. [1 ]
Whinnett, Z. [1 ]
Rajakulendran, S. [1 ]
Malhotra, P. [1 ]
Lefroy, D. [1 ]
Peters, N. S. [1 ]
Davies, D. W. [1 ]
Kanagaratnam, P. [1 ]
机构
[1] Imperial Coll Healthcare NHS Trust, St Marys Hosp, London W2 1NY, England
来源
PERFUSION-UK | 2015年 / 30卷 / 06期
关键词
atrio-oesophageal fistula; atrial fibrillation ablation; RADIOFREQUENCY CATHETER ABLATION; ATRIOESOPHAGEAL FISTULA; COMPLICATION; PREVALENCE;
D O I
10.1177/0267659114562102
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a man found unconscious three weeks following atrial fibrillation (AF) ablation. Cranial and thoracic imaging demonstrated multiple areas of pneumo-embolic infarction secondary to an atrio-oesophageal fistula (AEF). AEF is a recognised, but rare, complication of AF ablation.(1-8) Early recognition is critical as the mortality is 100% without surgical intervention. We consider the postulated mechanisms of AEF formation, the spectrum of clinical presentation, investigations and treatment.
引用
收藏
页码:484 / 486
页数:3
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