Duda Amber, Beers Kevin, Mitiek Mohi
Department of General Surgery, Mercy Health the Jewish Hospital, Cincinnati, OH, USA.
Department of Cardiothoracic Surgery, Children's Mercy Hospital, Kansas City, MO, USA.
J Surg Case Rep. 2022 Jan 26;2022(1):rjab497. doi: 10.1093/jscr/rjab497. eCollection 2022 Jan.
Atrial-esophageal fistula (AEF) is a rare, but life-threatening complication of ablative treatments for atrial fibrillation. Although the incidence of this complication is low, the mortality is very high. There are many surgical approaches to this disease but we offer a novel technique to reduce the number of incisions used and provides central cannulation. It also allows for repair of both the esophagus and atrium and buttresses these repairs, which have both been shown to decrease morbidity and mortality. The technique has been successful in our three patients and can be considered as an approach to surgical management of AEF.
心房-食管瘘（AEF）是一种罕见但危及生命的房颤消融治疗并发症。尽管这种并发症的发生率较低，但死亡率非常高。针对这种疾病有多种手术方法，但我们提供了一种新技术，可减少切口数量并实现中心插管。它还允许对食管和心房进行修复，并加强这些修复，这两者均已证明可降低发病率和死亡率。该技术在我们的三名患者中取得了成功，可被视为AEF手术治疗的一种方法。
