心房食管瘘：肺静脉隔离术一种罕见的、危及生命的并发症。
Atrioesophageal Fistula: A Rare, Life-Threatening Complication of Pulmonary Vein Isolation.
作者信息
Fabre Katarina L, Ali Mays T, Noseworthy Peter A, Stulak John M, Mankad Sunil V
机构信息
Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Cardiology, Mayo Clinic, Rochester, Minnesota.
出版信息
CASE (Phila). 2024 Aug 16;8(10):464-467. doi: 10.1016/j.case.2024.06.003. eCollection 2024 Oct.
• AEF is a rare complication of PVI. • Free air within the LA or pericardium on chest CT is diagnostic for AEF post-PVI. • Pericardial effusion and RV dysfunction on TTE aid CT in the diagnosis of AEF. • Emergent surgical repair is standard treatment for AEF. • Complications of AEF include CVAs from emboli.
• 心房食管瘘是肺静脉隔离术的一种罕见并发症。
• 胸部CT显示左心房或心包内有游离气体可诊断肺静脉隔离术后的心房食管瘘。
• 经胸超声心动图显示的心包积液和右心室功能障碍有助于胸部CT诊断心房食管瘘。
• 紧急手术修复是心房食管瘘的标准治疗方法。
• 心房食管瘘的并发症包括栓子导致的脑血管意外。
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