Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation

Pericardial–esophageal fistula and/or atrial–esophageal fistula after cardiac ablation is nearly universally fatal if not detected and treated expeditiously. This condition should be assumed and ruled out in anyone with a recent history of cardiac ablation presenting with signs of sepsis, pneumomedi...

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Autores principales: Sylvin, Erik A., Jassar, Arminder S., Kucharczuk, John C., Vallabhajosyula, Prashanth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8901371/
https://www.ncbi.nlm.nih.gov/pubmed/35265452
http://dx.doi.org/10.1055/s-0041-1736209
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author Sylvin, Erik A.
Jassar, Arminder S.
Kucharczuk, John C.
Vallabhajosyula, Prashanth
author_facet Sylvin, Erik A.
Jassar, Arminder S.
Kucharczuk, John C.
Vallabhajosyula, Prashanth
author_sort Sylvin, Erik A.
collection PubMed
description Pericardial–esophageal fistula and/or atrial–esophageal fistula after cardiac ablation is nearly universally fatal if not detected and treated expeditiously. This condition should be assumed and ruled out in anyone with a recent history of cardiac ablation presenting with signs of sepsis, pneumomediastinum, pneumopericardium, or chest pain. Computed tomography scan of the chest is a rapid and a sensitive diagnostic modality. Tenets of treatment and repair consist of preventing an air embolism, repairing the esophageal perforation and atrial defect, and interposing autologous tissue between the esophagus and heart.
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spelling pubmed-89013712022-03-08 Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation Sylvin, Erik A. Jassar, Arminder S. Kucharczuk, John C. Vallabhajosyula, Prashanth Thorac Cardiovasc Surg Rep Pericardial–esophageal fistula and/or atrial–esophageal fistula after cardiac ablation is nearly universally fatal if not detected and treated expeditiously. This condition should be assumed and ruled out in anyone with a recent history of cardiac ablation presenting with signs of sepsis, pneumomediastinum, pneumopericardium, or chest pain. Computed tomography scan of the chest is a rapid and a sensitive diagnostic modality. Tenets of treatment and repair consist of preventing an air embolism, repairing the esophageal perforation and atrial defect, and interposing autologous tissue between the esophagus and heart. Georg Thieme Verlag KG 2022-03-07 /pmc/articles/PMC8901371/ /pubmed/35265452 http://dx.doi.org/10.1055/s-0041-1736209 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Sylvin, Erik A.
Jassar, Arminder S.
Kucharczuk, John C.
Vallabhajosyula, Prashanth
Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title_full Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title_fullStr Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title_full_unstemmed Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title_short Pericardial–Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation
title_sort pericardial–esophageal fistula: a rare but increasing complication of cardiac ablation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8901371/
https://www.ncbi.nlm.nih.gov/pubmed/35265452
http://dx.doi.org/10.1055/s-0041-1736209
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