Surgical repair of an esophageal perforation after radiofrequency catheter ablation for atrial fibrillation

Patrick Badertscher; Tarik Delko; Daniel Oertli; Oliver Reuthebuch; Ulrich Schurr; Maurice Pradella; Michael Kühne; Christian Sticherling; Stefan Osswald

Indian Pacing and Electrophysiology Journal (May 2019)

Surgical repair of an esophageal perforation after radiofrequency catheter ablation for atrial fibrillation

Patrick Badertscher,
Tarik Delko,
Daniel Oertli,
Oliver Reuthebuch,
Ulrich Schurr,
Maurice Pradella,
Michael Kühne,
Christian Sticherling,
Stefan Osswald

Affiliations

Patrick Badertscher: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland; Department of Cardiology, University of Illinois at Chicago, USA
Tarik Delko: Department of General and Visceral Surgery, University Hospital Basel, University of Basel, Switzerland
Daniel Oertli: Department of General and Visceral Surgery, University Hospital Basel, University of Basel, Switzerland
Oliver Reuthebuch: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland
Ulrich Schurr: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland
Maurice Pradella: Department of Radiology, University Hospital Basel, University of Basel, Switzerland
Michael Kühne: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland
Christian Sticherling: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland
Stefan Osswald: Department of Cardiology and of Cardiac Surgery, University Hospital Basel, University of Basel, Switzerland; Corresponding author. Department of Cardiology. University Hospital Basel Petersgraben 4, CH-4031, Basel. Switzerland.

Journal volume & issue: Vol. 19, no. 3
pp. 110 – 113

Abstract

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Recent reports have described the incidence of atrioesophageal fistulas (AEF), often resulting in death, from radiofrequency (RF) catheter ablation of atrial fibrillation (AF).1 Cases of esophageal perforation without concomitant AEF have not been described as extensively.1 The precise mechanisms leading to esophageal injury after catheter ablation without involvement of the left atrium are not fully understood. The surgical approach to treat esophageal perforation is strongly recommended.2 However, a unified surgical treatment approach has not yet been established. We describe a case of successful surgical repair of an esophageal perforation after ablation using surgical repair in combination with an omental wrap. Keywords: Atrial fibrillation, Radiofrequency catheter ablation, Surgery

Published in Indian Pacing and Electrophysiology Journal

ISSN: 0972-6292 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/indian-pacing-and-electrophysiology-journal/

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