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J. Cardiovasc. Electrophysiol. · Aug 2004
Case ReportsLeft atrial-esophageal fistula following radiofrequency catheter ablation of atrial fibrillation.
- Mauricio I Scanavacca, André D'ávila, José Parga, and Eduardo Sosa.
- Arrhythmia Unit-Heart Institute (Incor), University of São Paulo Medical School, São Paulo, Brazil. mauricio.scanavacca@incor.usp.br
- J. Cardiovasc. Electrophysiol. 2004 Aug 1; 15 (8): 960-2.
AbstractThis report describes a fatal case of left atrial-esophageal fistula occurring in a 72-year-old man after a radiofrequency catheter ablation of paroxysmal atrial fibrillation. Catheter ablation was performed around the pulmonary vein using an 8-mm-tip electrode (60 W or 55 degrees C) guided by a 25-mm circular catheter. On day 22 of follow-up, the patient presented with seizures followed by hematemesis due to left atrial-esophageal fistula. His clinical condition deteriorated, and he died of speticemia. Thus, left atrial-esophageal fistula is a sever complication of radiofrequency catheter ablation of the left atrial posterior wall.
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