Katz-Agranov Nurit, Nevah Rubin Moises I
Nurit Katz-Agranov, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.
World J Gastroenterol. 2017 May 14;23(18):3374-3378. doi: 10.3748/wjg.v23.i18.3374.
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.
在进行射频消融治疗心房颤动后，已有各种程度的食管损伤被描述。损伤的主要机制是热效应，可能导致一系列食管黏膜变化，有些在临床上无显著意义，然而当发生深度溃疡时，可能会进一步并发穿孔和纵隔炎，这是一种罕见但危及生命的后遗症。我们报告一例导致纵隔炎的严重食管损伤病例，并伴有有趣的内镜检查结果。
