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A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia

Radiofrequency catheter ablation has been commonly used for the treatment of drug-refractory atrial fibrillation. The esophageal injury along with the development of atrial-esophageal fistula (AE fistula) is fairly rare but is a devastating complication of catheter ablation. Described in 2004 for th...

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Autores principales: Khan, Muzammil, Rashid, Mamoon Ur, Zafar, Hammad, Ullah, Waqas, Khan, Abu H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053677/
https://www.ncbi.nlm.nih.gov/pubmed/32181101
http://dx.doi.org/10.7759/cureus.6871
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author Khan, Muzammil
Rashid, Mamoon Ur
Zafar, Hammad
Ullah, Waqas
Khan, Abu H
author_facet Khan, Muzammil
Rashid, Mamoon Ur
Zafar, Hammad
Ullah, Waqas
Khan, Abu H
author_sort Khan, Muzammil
collection PubMed
description Radiofrequency catheter ablation has been commonly used for the treatment of drug-refractory atrial fibrillation. The esophageal injury along with the development of atrial-esophageal fistula (AE fistula) is fairly rare but is a devastating complication of catheter ablation. Described in 2004 for the first time, it is the most lethal of all the complications of catheter ablation with a high mortality rate. The clinical presentation of an AE fistula is variable, however, early diagnosis and treatment can prevent a fatality. We have reported a case of an AE fistula post catheter ablation for drug-resistant atrial fibrillation, along with its treatment, diagnosis, and possible preventive measures.
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spelling pubmed-70536772020-03-16 A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia Khan, Muzammil Rashid, Mamoon Ur Zafar, Hammad Ullah, Waqas Khan, Abu H Cureus Cardiology Radiofrequency catheter ablation has been commonly used for the treatment of drug-refractory atrial fibrillation. The esophageal injury along with the development of atrial-esophageal fistula (AE fistula) is fairly rare but is a devastating complication of catheter ablation. Described in 2004 for the first time, it is the most lethal of all the complications of catheter ablation with a high mortality rate. The clinical presentation of an AE fistula is variable, however, early diagnosis and treatment can prevent a fatality. We have reported a case of an AE fistula post catheter ablation for drug-resistant atrial fibrillation, along with its treatment, diagnosis, and possible preventive measures. Cureus 2020-02-04 /pmc/articles/PMC7053677/ /pubmed/32181101 http://dx.doi.org/10.7759/cureus.6871 Text en Copyright © 2020, Khan et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Khan, Muzammil
Rashid, Mamoon Ur
Zafar, Hammad
Ullah, Waqas
Khan, Abu H
A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title_full A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title_fullStr A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title_full_unstemmed A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title_short A Rare Complication of Cardiac Ablation: Atrial-esophageal Fistula Presenting as Odynophagia
title_sort rare complication of cardiac ablation: atrial-esophageal fistula presenting as odynophagia
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053677/
https://www.ncbi.nlm.nih.gov/pubmed/32181101
http://dx.doi.org/10.7759/cureus.6871
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