Work

Massive air embolism caused by an atrioesophageal fistula following isolation of the pulmonary veins for atrial fibrillation

Year: 2018

Type: article

Abstract: Key Teaching Points•Massive air embolism, especially when multifocal, should raise suspicion for atrioesophageal fistula (AEF) at the first medical contact. History of recent ablation for atrial fibrillation should be actively sought.•AEF might occur even after procedures in which power applied to the posterior left atrial wall is limited, in accordance with current recommendations.•Left atrial thrombosis at or close to the presumed location of the AEF could also occur. •Massive air embolism, especially when multifocal, should raise suspicion for atrioesophageal fistula (AEF) at the first medical contact. History of recent ablation for atrial fibrillation should be actively sought.•AEF might occur even after procedures in which power applied to the posterior left atrial wall is limited, in accordance with current recommendations.•Left atrial thrombosis at or close to the presumed location of the AEF could also occur.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2018.11.003

Authors: Vassil Traykov, Galina Kirova, Petko Karagyozov, Daniel Marchov, Genadi Kaninski, Valeri Gelev

Institutions: Tokuda Hospital, Acibadem City Clinic

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100