Successful treatment of atrioesophageal fistula by cervical esophageal ligation and decompression.

St Julien J, Putnam JB, Nesbitt JC, Lambright ES, Petracek MR, Grogan EL
Ann Thorac Surg. 2011 91 (6): e85-6

PMID: 21619954 · PMCID: PMC4154501 · DOI:10.1016/j.athoracsur.2011.01.039

Atrioesophageal fistula is a rare yet devastating complication of transcatheter ablation for atrial fibrillation. This condition requires urgent intervention, but the optimal treatment strategy is yet to be defined. Reported therapies range from endoscopic stenting to direct atrial repair or reconstruction while on cardiopulmonary bypass. Here, we describe the successful management of an atrioesophageal fistula by cervical esophageal ligation and decompression, along with gastric drainage.

Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

MeSH Terms (10)

Decompression, Surgical Esophageal Fistula Esophagus Fistula Heart Atria Heart Diseases Humans Ligation Male Middle Aged

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