Department of Thoracic and Cardiovascular Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Thoracic and Cardiovascular Surgery, Anam Hospital, University of Korea, Seoul, Republic of Korea.
Ann Thorac Surg. 2020 Jul;110(1):e13-e14. doi: 10.1016/j.athoracsur.2019.10.086. Epub 2019 Dec 23.
Atrioesophageal fistula (AEF) is a rare but disastrous complication encountered after radiofrequency catheter ablation for atrial fibrillation or flutter. Furthermore cerebral air embolism due to AEF is considered a strong predictor of mortality. In our case a patient presented with AEF and cerebral air embolism. As a rescue effort ventricular fibrillation was induced and sustained under venoarterial extracorporeal membrane oxygenation support until emergency AEF repair was feasible. Herein we report the successful use of the above measures to prevent further air embolism in a patient with radiofrequency catheter ablation-related AEF.
房间隔食管瘘（AEF）是射频导管消融治疗心房颤动或扑动后罕见但灾难性的并发症。此外，由于 AEF 引起的脑空气栓塞被认为是死亡率的强预测因素。在我们的病例中，患者出现 AEF 和脑空气栓塞。作为一种抢救措施，在静脉动脉体外膜肺氧合支持下诱导并维持心室颤动，直到可以进行紧急 AEF 修复。在此，我们报告了成功使用上述措施防止射频导管消融相关 AEF 患者进一步发生空气栓塞的情况。
