Rescue Extracorporeal Bypass to Prevent Atrioesophageal Fistula-related Air Embolism

Ju Yong Lim, Jun Hee Lee, Jae Min Shim, Eun Joo Lee, Jae Ho Chung, Jae Seung Jung, Ho Sung Son, Sung Ho Lee

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)


    Atrioesophageal fistula (AEF) is a rare but disastrous complication encountered after radiofrequency catheter ablation for atrial fibrillation or flutter. Furthermore cerebral air embolism due to AEF is considered a strong predictor of mortality. In our case a patient presented with AEF and cerebral air embolism. As a rescue effort ventricular fibrillation was induced and sustained under venoarterial extracorporeal membrane oxygenation support until emergency AEF repair was feasible. Herein we report the successful use of the above measures to prevent further air embolism in a patient with radiofrequency catheter ablation–related AEF.

    Original languageEnglish
    Pages (from-to)e13-e14
    JournalAnnals of Thoracic Surgery
    Issue number1
    Publication statusPublished - 2020 Jul

    ASJC Scopus subject areas

    • Surgery
    • Pulmonary and Respiratory Medicine
    • Cardiology and Cardiovascular Medicine


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