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心包-食管瘘：心脏消融术一种罕见但日益增多的并发症。

Pericardial-Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation.

作者信息

Sylvin Erik A, Jassar Arminder S, Kucharczuk John C, Vallabhajosyula Prashanth

机构信息

Division of Cardiothoracic Surgery, JFK Medical Center, University of Miami Miller School of Medicine, Atlantis, Florida, United States.

Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, United States.

出版信息

Thorac Cardiovasc Surg Rep. 2022 Mar 7;11(1):e27-e29. doi: 10.1055/s-0041-1736209. eCollection 2022 Jan.

DOI:10.1055/s-0041-1736209
PMID:35265452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8901371/
Abstract

Pericardial-esophageal fistula and/or atrial-esophageal fistula after cardiac ablation is nearly universally fatal if not detected and treated expeditiously. This condition should be assumed and ruled out in anyone with a recent history of cardiac ablation presenting with signs of sepsis, pneumomediastinum, pneumopericardium, or chest pain. Computed tomography scan of the chest is a rapid and a sensitive diagnostic modality. Tenets of treatment and repair consist of preventing an air embolism, repairing the esophageal perforation and atrial defect, and interposing autologous tissue between the esophagus and heart.

摘要

心脏消融术后发生的心包-食管瘘和/或心房-食管瘘若未被及时发现和治疗，几乎无一例外会导致死亡。对于近期有心脏消融病史且出现败血症、纵隔气肿、心包积气或胸痛症状的患者，均应考虑并排除这种情况。胸部计算机断层扫描是一种快速且敏感的诊断方法。治疗和修复的原则包括预防空气栓塞、修复食管穿孔和心房缺损，以及在食管和心脏之间置入自体组织。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/6eb0ecd42604/10-1055-s-0041-1736209-i210397crc-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/293140d4035e/10-1055-s-0041-1736209-i210397crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/6fe9de1fc183/10-1055-s-0041-1736209-i210397crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/d469fdaf0e32/10-1055-s-0041-1736209-i210397crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/86fdeb0b60b4/10-1055-s-0041-1736209-i210397crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/441190680ab3/10-1055-s-0041-1736209-i210397crc-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/6eb0ecd42604/10-1055-s-0041-1736209-i210397crc-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/293140d4035e/10-1055-s-0041-1736209-i210397crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/6fe9de1fc183/10-1055-s-0041-1736209-i210397crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/d469fdaf0e32/10-1055-s-0041-1736209-i210397crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/86fdeb0b60b4/10-1055-s-0041-1736209-i210397crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/441190680ab3/10-1055-s-0041-1736209-i210397crc-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad19/8901371/6eb0ecd42604/10-1055-s-0041-1736209-i210397crc-6.jpg

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2
Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation.食管损伤和房性颤动消融引起的心耳瘘
Circulation. 2017 Sep 26;136(13):1247-1255. doi: 10.1161/CIRCULATIONAHA.117.025827.
3
Atrio-Esophageal Fistula After AF Ablation: Pathophysiology, Prevention &Treatment.
Int J Surg Case Rep. 2024 Feb;115:109260. doi: 10.1016/j.ijscr.2024.109260. Epub 2024 Jan 13.
4
Esophagopericardial fistula complicated by tension pyopericardium managed with a 3-incision esophagectomy.食管心包瘘合并张力性脓性心包炎，采用三切口食管切除术治疗。
JTCVS Tech. 2023 Sep 24;22:312-316. doi: 10.1016/j.xjtc.2023.09.016. eCollection 2023 Dec.
5
Atrial-esophageal fistula after atrial fibrillation ablation: a case report and literature review.心房颤动消融术后并发心房食管瘘：一例病例报告及文献综述
Ann Transl Med. 2023 Jan 31;11(2):138. doi: 10.21037/atm-22-6570.
房颤消融术后的心房-食管瘘：病理生理学、预防与治疗
J Atr Fibrillation. 2013 Oct 31;6(3):860. doi: 10.4022/jafib.860. eCollection 2013 Oct-Nov.
4
Atrioesophageal fistula following ablation procedures for atrial fibrillation: systematic review of case reports.心房颤动消融术后并发的心房食管瘘：病例报告的系统评价
Open Heart. 2015 Sep 10;2(1):e000257. doi: 10.1136/openhrt-2015-000257. eCollection 2015.
5
Prevalence and causes of fatal outcome in catheter ablation of atrial fibrillation.心房颤动导管消融术致死结局的发生率及原因
J Am Coll Cardiol. 2009 May 12;53(19):1798-803. doi: 10.1016/j.jacc.2009.02.022.