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Surgical repair of an esophageal perforation after radiofrequency catheter ablation for atrial fibrillation
Journal
Indian pacing and electrophysiology journal
Volume
19
Number
3
Pages / Article-Number
110-113
Keywords
Atrial fibrillation; Radiofrequency catheter ablation; Surgery
Abstract
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.
