Oesophago-pericardial fistula after catheter ablation of atrial fibrillation: a case report.
Shaohui WuGuangchen ZouYuzhang SunWeifeng JiangXu LiuPublished in: European heart journal. Case reports (2024)
Patients with oesophago-pericardial fistulas often have delayed presentation 1-4 weeks after the ablation procedure. Early diagnosis can be challenging. CT with oral and intravenous contrast is often used for diagnosis. Treatment often includes antibiotics, surgical or interventional drainage of infected spaces with oesophageal repair, clipping or stenting. In contrast to atrio-oesophageal fistulas that carry a high mortality rate, mortality for oesophago-pericardial fistulas appears to be much lower.
Keyphrases
- catheter ablation
- atrial fibrillation
- left atrial
- left atrial appendage
- contrast enhanced
- magnetic resonance
- cardiovascular events
- oral anticoagulants
- risk factors
- computed tomography
- heart failure
- magnetic resonance imaging
- direct oral anticoagulants
- image quality
- high dose
- combination therapy
- dual energy
- percutaneous coronary intervention
- coronary artery disease
- cardiovascular disease
- acute coronary syndrome