Pericardioesophageal Fistula Following Left Atrial Ablation Procedure
| Autor: | Christopher W. Bailey, Robert J. Tallaksen |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Heart Diseases medicine.medical_treatment Catheter ablation Pneumopericardium Pericardial effusion Pericardial Effusion Esophageal Fistula Esophageal stent Atrial Fibrillation Humans Medicine Pericardium Radiology Nuclear Medicine and imaging Cardiac Imaging Heart Atria cardiovascular diseases Vascular Fistula business.industry Esophagram medicine.disease Surgery medicine.anatomical_structure Catheter Ablation Radiology Transthoracic echocardiogram Tomography X-Ray Computed business |
| Zdroj: | Journal of Radiology Case Reports. 8 |
| ISSN: | 1943-0922 |
| DOI: | 10.3941/jrcr.v8i10.1804 |
| Popis: | We present a case of pericardioesophageal fistula formation in a 40 year old male who 23 days after undergoing a repeat ablation procedure for atrial fibrillation developed chest pressure, chills and diaphoresis. After initial labs and tests that demonstrated no evidence for acute myocardial ischemia, the patient underwent CT angiography of the chest. The study revealed pneumopericardium and a pericardial effusion. Suspicion was raised of perforation of the posterior left atrial myocardial wall with injury to adjacent esophagus. Water soluble contrast with transition to barium sulfate esophagram subsequently performed identified a perforation further affirming the postulate of a fistulous communication between the esophagus and pericardium. Transthoracic echocardiogram confirmed pericardial effusion but did not demonstrate myocardial defect. Endoscopic management was preferred and an esophageal stent was placed. Follow up esophagram showed an intact esophageal stent without evidence of extravasation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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