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导管肺静脉消融治疗心房颤动后并发的心房食管瘘:影像学特征

Atrioesophageal fistula after catheter pulmonary venous ablation for atrial fibrillation: imaging features.

作者信息

Preis Ori, Digumarthy Subba Rao, Wright Cameron Dorrans, Shepard Jo-Anne O'Malley

机构信息

Department of Radiology, Massachusetts General Hospital, Boston, MA 02114, USA.

出版信息

J Thorac Imaging. 2007 Aug;22(3):283-5. doi: 10.1097/RTI.0b013e318054e26f.

DOI:10.1097/RTI.0b013e318054e26f
PMID:17721345
Abstract

Atrioesophageal fistula is a rare but highly morbid complication of catheter-mediated pulmonary vein ablation for the treatment of atrial fibrillation. Among patients who do not exsanguinate from upper gastrointestinal tract bleeding, presentation includes sepsis and embolic cerebrovascular disease. We present a case of atrioesophageal fistula after pulmonary venous ablation as a treatment for atrial fibrillation, focusing on the imaging features of this diagnosis.

摘要

心房食管瘘是导管介导的肺静脉消融治疗心房颤动时一种罕见但致死率很高的并发症。在未因上消化道出血而失血过多的患者中,临床表现包括败血症和栓塞性脑血管疾病。我们报告一例肺静脉消融治疗心房颤动后发生心房食管瘘的病例,重点关注该诊断的影像学特征。

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