• Ann. Thorac. Surg. · Oct 2012

    Case Reports

    Surgical repair of a left atrial-esophageal fistula after radiofrequency catheter ablation for atrial fibrillation.

    • Alan R Hartman, Lawrence Glassman, Stanley Katz, Larry Chinitz, and William Ross.
    • Department of Cardiovascular and Thoracic Surgery, Hofstra North Shore-LIJ Health System School of Medicine, Manhasset, New York 11030, USA. ahartman@nshs.edu
    • Ann. Thorac. Surg. 2012 Oct 1; 94 (4): e91-3.

    AbstractLeft atrial-esophageal fistula is a highly lethal complication of ablative therapy for atrial fibrillation. Because of its unusual rate of occurrence, there has not been a uniform approach to either the diagnosis or corrective therapy. We offer 1 such surgical option based on presumptive and early diagnosis-left atrial repair with cardiopulmonary bypass followed by repair of the esophagus with an omental wrap and supported with decompressive gastrostomy and feeding jejunostomy.Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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