Acute fever and seizure in a patient with recent atrial fibrillation ablation

Moraes, Alice Gallo De; Patel, Parshva; Mahal, Elizabeth; Kramer, Christopher; Soto, Juan C. Diaz; Moua, Teng

doi:10.1016/j.hrtlng.2015.05.002

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…The most common presenting symptoms reported were fever (64%; 9/14), chest pain (43%; 6/14), and chills/rigors (36%; 5/14) (Table in the Supplementary Material). In 7 patients whose blood culture results were reported at the time of initial CT chest, all grew Streptococcus species with most (5/7) growing multiple organisms including Gemella morbillorum , Lactobacillus , Candida albicans , Enterococcus faecalis , and Streptococcus viridians . In 5 patients who had biochemistry results reported, 2 were normal.…”

Section: Resultsmentioning

confidence: 99%

Challenges and limitations in the diagnosis of atrioesophageal fistula

Han

Sanders

et al. 2018

Cardiovasc electrophysiol

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Section: Resultsmentioning

confidence: 99%

Challenges and limitations in the diagnosis of atrioesophageal fistula

Han

Sanders

et al. 2018

Cardiovasc electrophysiol

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“…[ 2 6 9 12 23 57 ] Esophageal stenting and surgical repair were the major therapies of AEF. Different therapeutic strategy might influence outcome of patients.…”

Section: Discussionmentioning

confidence: 99%

Treatment strategy for treating atrial-esophageal fistula

Zhou

Cen²,

Qian³

et al. 2016

Medicine

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Introduction:Atrial-esophageal fistula (AEF) is a rare severe disease, which may be associated with radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF) or intraoperative radiofrequency ablation of atrial fibrillation (IRAAF).Clinical Findings:We reported a case of a 67-year-old man with AEF following RFCA of AF, who treated with esophageal stenting and surgical repair.Outcomes:He was attacked by out-of-control sepsis and infectious shock after surgery and died.Literature review:We analyzed 57 relevant articles about AEF from 2003 to 2015 by searching PubMed database. According literatures, the most common symptoms were fever, rigor, sepsis, and neurologic symptoms. Chest computer tomography (CT) and contrast enhanced CT may be the reliable noninvasive diagnosis methods because of high sensitive for AEF.Conclusion:Make a definition diagnosis in time with early primary surgical repair may save their lives. Conservative treatment or esophageal stenting alone may not be a better choice for AEF patients.

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Atrioesophageal fistula

Jones¹,

Kara²

2022

Jaapa

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Atrioesophageal fi stula with resulting air emboli is a rare but potentially fatal complication of radiofrequency catheter ablation (RFCA) for atrial fi brillation. Patients typically present within 60 days after RFCA with fever, neurologic defi cits, chest pain, and gastrointestinal bleeding. Chest CT with IV contrast reveals the atrioesophageal fi stula in most cases, and CT of the head or MRI of the brain commonly reveals signs of air emboli. Early diagnosis, initiation of antibiotics, and immediate surgical intervention may improve patients' chances of survival.

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Acute fever and seizure in a patient with recent atrial fibrillation ablation

Cited by 3 publications

References 32 publications

Challenges and limitations in the diagnosis of atrioesophageal fistula

Challenges and limitations in the diagnosis of atrioesophageal fistula

Treatment strategy for treating atrial-esophageal fistula

Atrioesophageal fistula

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