Pneumopericardium Due to Esophagopericardial Fistula After Radiofrequency Ablation for Atrial Fibrillation

Hashmi, Mohammad; Minaskeian, Nareg; Mian, Raza

doi:10.1016/s0735-1097(19)33058-x

Cited by 1 publication

(2 citation statements)

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“…In that light, we report our patient who developed esophago‐pericardial fistula three weeks after radiofrequency pulmonary vein isolation, who had a normal esophagoscopy after the procedure. When reviewing the literature regarding esophago‐mediastinal fistulous formation, we found 23 cases of esophageal perforation without a fistulous communication with the left atrium 6,7,11–26 . Only one of the 23 cases was screened early after ablation having a normal esophagoscopy, before developing perforation two weeks later 4 (Table 1).…”

Section: Esophagus Perforation and Fistula Developmentmentioning

confidence: 99%

“…When reviewing the literature regarding esophago-mediastinal fistulous formation, we found 23 cases of esophageal perforation without a fistulous communication with the left atrium. 6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Only one of the 23 cases was screened early after ablation having a normal esophagoscopy, before developing perforation two weeks later 4 (Table 1). Park et al 4 also reported that another patient, who likely died of esophageal-atrial fistula, had a normal endoscopy on the second day after the procedure.…”

Section: Esophagus Perforation and Fistula Developmentmentioning

confidence: 99%

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Esophago‐pericardial fistula after catheter ablation of atrial fibrillation: A review

Sternick

Correa

Drumond

et al. 2020

Cardiovasc electrophysiol

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Introduction: Much have been reported about esophago-left atrium fistula. However, esophago-mediastinal fistula, not reaching the left atrium, has not been studied as a different clinical entity, with different management. Methods and Results: We review and discuss the literature of esophagomediastinum fistula after catheter ablation for atrial fibrillation with emphasis on the following points: the timing of its occurrence after ablation; the mechanisms and localization of the fistula; and its natural history. Conclusion: We showed that esophageal stenting was associated with a better outcome in patients with esophagus-mediastinal fistula, introduced the concept of left atrial wall weakening during ablation, and suggest a possible role of contact force use in fistula formation.

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Section: Esophagus Perforation and Fistula Developmentmentioning

confidence: 99%