Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/91725
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Type: Journal article
Title: Fatal atrial oesophageal fistula following pulmonary vein isolation: an unresolved safety issue
Other Titles: Fatal atrial oesophageal fistula following pulmonary vein isolation: an unresolved safety issue 3C00
Author: Loo, S.Y.
Sundararajan, K.
Citation: Journal of the Intensive Care Society, 2014; 15(3):231-234
Publisher: SAGE Publications
Issue Date: 2014
ISSN: 1751-1437
Statement of
Responsibility: 
Say Yee Loo, Krishnaswamy Sundararajan
Abstract: Atrial fibrillation is a common cardiac arrhythmia that is associated with high morbidity and mortality. Radiofrequency ablation with extensive circumferential pulmonary vein isolation has been recognised as the most commonly employed ablation method to treat recurrent atrial fibrillation that is refractory to drug therapy. Atrial-oesophageal fistula is one of the most devastating complications following this procedure and has implications for intensive care clinicians. We report the clinical course of a patient with an extensive history of recurrent, drug-refractory atrial fibrillation who developed atrial-oesophageal fistula three weeks after pulmonary vein isolation, suffered a series of complications as a consequence, and eventually died.
Keywords: atrial fibrillation; radiofrequency ablation; pulmonary vein isolation; complications; atrial oesophageal fistula
Rights: © The Intensive Care Society 2014
DOI: 10.1177/175114371401500311
Appears in Collections:Aurora harvest 7
Medicine publications

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