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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.

DOI:10.1016/j.case.2024.06.003
PMID:39619231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604523/
Abstract

• 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.

摘要

• 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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/cb65f71c2e59/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/e25b53eee302/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/fe65e50be0e1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/0e3fe7f02b06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/459ea683a71a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/6f8a2e48b7f0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/cb65f71c2e59/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/e25b53eee302/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/fe65e50be0e1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/0e3fe7f02b06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/459ea683a71a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/6f8a2e48b7f0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b0/11604523/cb65f71c2e59/gr5.jpg

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本文引用的文献

1
Atrioesophageal Fistula After Atrial Fibrillation Ablation: A Case Report.心房颤动消融术后并发心房食管瘘：一例报告
CJC Open. 2022 Aug 19;4(12):1093-1095. doi: 10.1016/j.cjco.2022.08.009. eCollection 2022 Dec.
2
Cerebral arterial air embolism secondary to iatrogenic left atrial-esophageal fistula: a case report.医源性左心房-食管瘘致脑动脉空气栓塞：1 例报告。
BMC Neurol. 2020 Jan 11;20(1):16. doi: 10.1186/s12883-020-1602-1.
3
Atrial-Esophageal Fistula After Catheter Ablation: Diagnosing and Managing a Rare Complication of a Common Procedure.
导管消融术后心房-食管瘘：诊断与处理一项常见手术的罕见并发症
Am J Case Rep. 2019 Apr 20;20:557-561. doi: 10.12659/AJCR.913620.
4
Atrioesophageal Fistula: Clinical Presentation, Procedural Characteristics, Diagnostic Investigations, and Treatment Outcomes.心房食管瘘：临床表现、手术特点、诊断检查及治疗结果
Circ Arrhythm Electrophysiol. 2017 Nov;10(11). doi: 10.1161/CIRCEP.117.005579.
5
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.