Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation
Abstract Left atrial-esophageal fistula (LAEF) is a rare complication of radiofrequency ablation (RFA) procedures undertaken for atrial fibrillation (AF). This complication is associated with significant morbidity and mortality. Currently, there is no clear consensus on the appropriate management st...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2013-11-01
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| Series: | The Thoracic & Cardiovascular Surgeon Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358779 |
| _version_ | 1831730154259349504 |
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| author | Jeffrey B. Velotta Charles R. Vasquez Ralph M. Bolman Marcelo C. Dasilva |
| author_facet | Jeffrey B. Velotta Charles R. Vasquez Ralph M. Bolman Marcelo C. Dasilva |
| author_sort | Jeffrey B. Velotta |
| collection | DOAJ |
| description | Abstract
Left atrial-esophageal fistula (LAEF) is a rare complication of radiofrequency ablation (RFA) procedures undertaken for atrial fibrillation (AF). This complication is associated with significant morbidity and mortality. Currently, there is no clear consensus on the appropriate management strategy. We report a case of a LAEF that developed in a patient 2 weeks after RFA for medication refractory AF. The patient underwent successful repair of the fistula through a left posterolateral thoracotomy, wherein the esophageal and atrial lesions were repaired primarily with an intercostal muscle flap and bovine pericardial patch to reinforce and prevent recurrence. |
| first_indexed | 2024-12-21T09:40:13Z |
| format | Article |
| id | doaj.art-34171491cc6f45f7a3cac5a5f2ff85a9 |
| institution | Directory Open Access Journal |
| issn | 2194-7635 2194-7643 |
| language | English |
| last_indexed | 2024-12-21T09:40:13Z |
| publishDate | 2013-11-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | The Thoracic & Cardiovascular Surgeon Reports |
| spelling | doaj.art-34171491cc6f45f7a3cac5a5f2ff85a92022-12-21T19:08:28ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432013-11-01020101301510.1055/s-0033-1358779Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial FibrillationJeffrey B. Velotta0Charles R. Vasquez1Ralph M. Bolman2Marcelo C. Dasilva3Department of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United StatesDana Farber Cancer Institute, Boston, Massachusetts, United StatesDepartment of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United StatesDepartment of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United StatesAbstract Left atrial-esophageal fistula (LAEF) is a rare complication of radiofrequency ablation (RFA) procedures undertaken for atrial fibrillation (AF). This complication is associated with significant morbidity and mortality. Currently, there is no clear consensus on the appropriate management strategy. We report a case of a LAEF that developed in a patient 2 weeks after RFA for medication refractory AF. The patient underwent successful repair of the fistula through a left posterolateral thoracotomy, wherein the esophageal and atrial lesions were repaired primarily with an intercostal muscle flap and bovine pericardial patch to reinforce and prevent recurrence.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358779ablative therapyatrial fibrillationatrial-esophagealesophageal surgerythoracotomy |
| spellingShingle | Jeffrey B. Velotta Charles R. Vasquez Ralph M. Bolman Marcelo C. Dasilva Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation The Thoracic & Cardiovascular Surgeon Reports ablative therapy atrial fibrillation atrial-esophageal esophageal surgery thoracotomy |
| title | Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation |
| title_full | Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation |
| title_fullStr | Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation |
| title_full_unstemmed | Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation |
| title_short | Left Atrial-Esophageal Fistula Repair after Radiofrequency Catheter Ablation for Atrial Fibrillation |
| title_sort | left atrial esophageal fistula repair after radiofrequency catheter ablation for atrial fibrillation |
| topic | ablative therapy atrial fibrillation atrial-esophageal esophageal surgery thoracotomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358779 |
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