A delayed case of fatal atrioesophageal fistula following radiofrequency ablation for atrial fibrillation

Journal of Cardiovascular Electrophysiology
Glynn W Gilcrease, Joseph B Stein

Abstract

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.

References

May 1, 1991·Annals of Internal Medicine·J M PiperM R Griffin
Jul 7, 1983·The New England Journal of Medicine·J MesserT C Chalmers
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·Nicolas DollGerd Hindricks
Dec 11, 2003·The Journal of Thoracic and Cardiovascular Surgery·A Marc GillinovThomas W Rice

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Citations

Jun 23, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Sung-Won JangKyung-Sup Song
Mar 15, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Sascha RolfWilhelm Haverkamp
May 13, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Stephan ZellerhoffLars Eckardt
Mar 6, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsDavid Wilber
Nov 26, 2010·Current Opinion in Cardiology·Nikolaos Dagres, Maria Anastasiou-Nana
Mar 24, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J FinstererT Pulgram
Dec 10, 2013·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Krishna Kumar Mohanan NairEugene Crystal
Dec 22, 2011·The Annals of Thoracic Surgery·Kara A HaggertyMarc S Sussman
May 31, 2011·The Annals of Thoracic Surgery·Jamii St JulienEric L Grogan
Sep 8, 2012·Journal of Cardiovascular Electrophysiology·Antonio RavieleUNKNOWN Venice Chart
Feb 6, 2013·Pacing and Clinical Electrophysiology : PACE·Christian von BaryOkka W Hamer
Sep 20, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Michael EssandohRebecca M Gerlach
Nov 13, 2012·The Journal of Thoracic and Cardiovascular Surgery·Eitan Podgaetz, Claude Deschamps
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsTeiichi Yamane
Apr 1, 2018·Journal of Cardiovascular Electrophysiology·Francis J HaHan S Lim
Jun 4, 2013·Circulation. Arrhythmia and Electrophysiology·Charlotte EitelUlrich Halm
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsUNKNOWN Document Reviewers:
May 14, 2020·Pacing and Clinical Electrophysiology : PACE·Carola GianniAndrea Natale
Apr 24, 2020·Journal of Cardiovascular Electrophysiology·Fabrizio R AssisHarikrishna Tandri
Jun 17, 2020·Pacing and Clinical Electrophysiology : PACE·Gregory P SirokyDeepak Saluja
Jan 8, 2015·BMJ Case Reports·Caroline E MossDavid Walker
Aug 3, 2016·Interactive Cardiovascular and Thoracic Surgery·Bassel Al-AlaoOmar Lattouf
Sep 16, 2017·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Hugh CalkinsTeiichi Yamane

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