A novel hybrid technique for the repair of an atrioesophageal fistula post-atrial radiofrequency ablation
R Kronenberger, F Mana, GB Chierchia… - European Journal of …, 2022 - academic.oup.com
R Kronenberger, F Mana, GB Chierchia, M La Meir
European Journal of Cardio-Thoracic Surgery, 2022•academic.oup.comAn atrioesophageal fistula is an uncommon complication of atrial ablation with a mortality
rate of 40–100%. Uniform treatment guidelines have yet to be established. Herein, we
illustrate the successful surgical management of an atrioesophageal fistula, avoiding the
need for an oesophageal surgical intervention by sealing and clipping of the oesophagus.
This novel single-step hybrid approach combining cardiac surgical and gastroenterological
techniques provides a less aggressive strategy with potentially a more favourable prognosis.
rate of 40–100%. Uniform treatment guidelines have yet to be established. Herein, we
illustrate the successful surgical management of an atrioesophageal fistula, avoiding the
need for an oesophageal surgical intervention by sealing and clipping of the oesophagus.
This novel single-step hybrid approach combining cardiac surgical and gastroenterological
techniques provides a less aggressive strategy with potentially a more favourable prognosis.
Abstract
An atrioesophageal fistula is an uncommon complication of atrial ablation with a mortality rate of 40–100%. Uniform treatment guidelines have yet to be established. Herein, we illustrate the successful surgical management of an atrioesophageal fistula, avoiding the need for an oesophageal surgical intervention by sealing and clipping of the oesophagus. This novel single-step hybrid approach combining cardiac surgical and gastroenterological techniques provides a less aggressive strategy with potentially a more favourable prognosis.
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