Cerebral air emboli with atrial-esophageal fistula following atrial fibrillation ablation: a case report and review.

摘要: Background: Atrial-esophageal fistula (AEF) is a rare and early complication of radiofrequency ablation for medically refractory atrial fibrillation, but has devastating consequences when the diagnosis delayed or difficult to make. Methods: Single case in neurosciences critical care center. Results: A 69-year-old man with significant cardiac neurologic medical history who underwent fibrillation 50 days prior admission neurocritical unit presented acute left-sided weakness gram-positive bacterial sepsis. This an exceptional discussing need detection AEF presenting sepsis, deficit along complicated decision-making setting. His hospital course was by stroke, left ventricular (LV) aneurysm thrombus, gastrointestinal (GI) bleed discovered be from esophageal fistula, subsequent cerebral air emboli leading death. Conclusions: most delaye...