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Oesophageal–pericardial and atrio-oesophageal fistula complicating a pulmonary vein isolation procedure

A 66-year-old man with a history of catheter ablation for atrial fibrillation presented with purulent cardiac tamponade, revealing an atrio-oesophageal fistula. He underwent successful endoscopic management. A few days later, the patient fell into a sudden coma due to multiple cerebral air embolisms...

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Detalles Bibliográficos
Autores principales: Berthoud, Vivien, Chevallier, Olivier, Guinot, Pierre-Grégoire, Fauchier, Laurent, Loffroy, Romaric, Cottin, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475398/
https://www.ncbi.nlm.nih.gov/pubmed/37670914
http://dx.doi.org/10.1016/j.radcr.2023.08.021
Descripción
Sumario:A 66-year-old man with a history of catheter ablation for atrial fibrillation presented with purulent cardiac tamponade, revealing an atrio-oesophageal fistula. He underwent successful endoscopic management. A few days later, the patient fell into a sudden coma due to multiple cerebral air embolisms, resulting from a fistula between the esophagus and the right superior pulmonary vein.