A Delayed Case of Fatal Atrioesophageal Fistula Following Radiofrequency Ablation for Atrial Fibrillation
Article first published online: 22 JAN 2010
© 2010 Wiley Periodicals, Inc.
Journal of Cardiovascular Electrophysiology
Volume 21, Issue 6, pages 708–711, June 2010
How to Cite
GILCREASE, G. W. and STEIN, J. B. (2010), A Delayed Case of Fatal Atrioesophageal Fistula Following Radiofrequency Ablation for Atrial Fibrillation. Journal of Cardiovascular Electrophysiology, 21: 708–711. doi: 10.1111/j.1540-8167.2009.01688.x
- Issue published online: 17 MAY 2010
- Article first published online: 22 JAN 2010
- Manuscript received 15 April 2009; Revised manuscript received 10 November 2009; Accepted for publication 11 November 2009.
- atrial fibrillation;
- atrioesophageal fistula;
- catheter ablation;
A Delayed Case of Fatal Atrioesophageal Fistula. We describe the case of a 61-year-old man with a fatal atrioesophageal fistula following radiofrequency ablation (RFA) for paroxysmal atrial fibrillation (PAF). Esophageal injury was first noted on computed tomography (CT) scan 10 days following RFA. Fistulization occurred 41 days following the procedure. This is a delayed time course in comparison with published reports. The patient declined intervention and we have serial CT imaging documenting the natural progression from ulceration to fistula. Although the patient was on acid suppression, he received 2 courses of corticosteroids, which may have contributed to the progression of his esophageal ulcer. (J Cardiovasc Electrophysiol, Vol. 21, pp. 708-711, June 2010)