Severe esophageal injury after radiofrequency ablation - a deadly complication
نویسندگان
چکیده
Various degrees of esophageal injury have been described after radiofrequency ablation performed for treatment of atrial fibrillation. The main mechanism of injury is thermal and may lead to a range of esophageal mucosal changes, some clinically insignificant, however when deep ulceration occurs, this may be further complicated by perforation and mediastinitis, a rare but life threatening sequelae. We present a case of a severe esophageal injury leading to mediastinitis, with interesting endoscopic findings.
منابع مشابه
Esophageal fistula formation despite esophageal monitoring and low-power radiofrequency catheter ablation for atrial fibrillation.
Esophageal fistula is a rare but devastating complication that may occur after catheter ablation of atrial fibrillation.1 The mechanism of esophageal injury is not known. Potential mechanisms for injury include direct thermal injury and ischemic injury from damage to the esophageal blood supply. Current ablation strategies use various methods to avoid esophageal injury. We describe an unusual m...
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