Department of Surgery, The Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Ann Thorac Surg. 2011 Jun;91(6):e85-6. 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.
房室隔瘘是经导管消融治疗心房颤动的一种罕见但严重的并发症。这种情况需要紧急干预,但最佳的治疗策略尚未确定。报道的治疗方法包括内镜支架置入术、体外循环下心房直接修复或重建。在此,我们描述了通过颈段食管结扎和减压以及胃引流成功治疗房室隔瘘的病例。