Interdisciplinary Management of the Emergency Treatment in an Atrioesophageal Fistula.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
08 2022
Historique:
received: 12 08 2021
revised: 29 09 2021
accepted: 14 10 2021
pubmed: 11 12 2021
medline: 28 7 2022
entrez: 10 12 2021
Statut: ppublish

Résumé

The atrioesophageal fistula is a fulminant complication of radiofrequency ablation in atrial fibrillation, with a mortality as high as 80%. Surgical approaches have been insufficiently dealt with in literature. Treating a 42-year-old male patient, we developed an interdisciplinary two-step concept: (1) resection of the affected third of the esophagus and closing of the atrial defect using cardiopulmonary bypass and cardioplegic cardiac arrest; and (2) a second surgery to restore gastrointestinal continuity after an adequate term. Our patient has fully recovered.

Identifiants

pubmed: 34890569
pii: S0003-4975(21)02022-1
doi: 10.1016/j.athoracsur.2021.10.050
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e149-e151

Informations de copyright

Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Christine Kamla (C)

Department of Cardiac Surgery, University Hospital LMU Munich, Munich, Germany. Electronic address: christine.kamla@med.uni-muenchen.de.

Sergey Belyaev (S)

Department of Cardiac Surgery, University Hospital LMU Munich, Munich, Germany.

Christian Hagl (C)

Department of Cardiac Surgery, University Hospital LMU Munich, Munich, Germany.

Martin Angele (M)

Department of Visceral and Transplant Surgery, University Hospital LMU Munich, Munich, Germany.

Alexey Dashkevich (A)

Department of Cardiac Surgery, University Hospital LMU Munich, Munich, Germany.

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Classifications MeSH