消融心脏后部：冠状动脉窦射频消融并发的心食管瘘
Ablating the Posterior Heart: Cardioesophageal Fistula Complicating Radiofrequency Ablation in the Coronary Sinus.
作者信息
Güneş Mahmut Fatih, Gökoğlan Yalçin, DI Biase Luigi, Gianni Carola, Mohanty Sanghamitra, Horton Rodney, Bailey Shane, Natale Andrea
机构信息
Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA.
Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
出版信息
J Cardiovasc Electrophysiol. 2015 Dec;26(12):1376-8. doi: 10.1111/jce.12831. Epub 2015 Oct 12.
Cardioesophageal fistulas (CEFs) are uncommon but life-threatening complications of radiofrequency (RF) catheter ablation of atrial fibrillation (AF). They are usually, but not exclusively, related to ablation of the left atrial posterior wall. We report a case of a 73-year-old man that presented with CEF following RF ablation in the coronary sinus, highlighting the importance of esophageal temperature monitoring whenever ablating in the posterior heart.
心食管瘘（CEF）是心房颤动（AF）射频（RF）导管消融术罕见但危及生命的并发症。它们通常（但并非仅）与左心房后壁消融有关。我们报告一例73岁男性在冠状静脉窦进行射频消融后出现心食管瘘的病例，强调了在后侧心脏进行消融时食管温度监测的重要性。
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