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Pericardial-Esophageal Fistula After Combined Ablation and Left Atrial Appendage Occlusion Procedure for Atrial Fibrillation.


ABSTRACT: Pericardial-esophageal fistula is a rare complication after radiofrequency ablation for atrial fibrillation. A 52-year-old man developed pneumopericardium, which was revealed by echocardiogram and computed tomography, after a combined ablation and left atrial appendage occlusion procedure for atrial fibrillation. He was diagnosed with a pericardial-esophageal fistula and underwent surgical pericardial and mediastinal drainage tube placement. However, the patient developed constrictive pericarditis 2 months after the first surgery and subsequently underwent pericardiolysis. A month after the second surgery, the patient's condition was significantly improved and he was allowed home.

SUBMITTER: Wang ZN 

PROVIDER: S-EPMC11646909 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature