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

doi:10.1016/j.athoracsur.2019.10.086

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

^*Corresponding author for this work

Department of Medicine

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

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 language	English
Pages (from-to)	e13-e14
Journal	Annals of Thoracic Surgery
Volume	110
Issue number	1
DOIs	https://doi.org/10.1016/j.athoracsur.2019.10.086
Publication status	Published - 2020 Jul

Bibliographical note

Publisher Copyright:
© 2020 The Society of Thoracic Surgeons

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2019.10.086

Cite this

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title = "Rescue Extracorporeal Bypass to Prevent Atrioesophageal Fistula-related Air Embolism",

abstract = "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.",

author = "Lim, \{Ju Yong\} and Lee, \{Jun Hee\} and Shim, \{Jae Min\} and Lee, \{Eun Joo\} and Chung, \{Jae Ho\} and Jung, \{Jae Seung\} and Son, \{Ho Sung\} and Lee, \{Sung Ho\}",

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year = "2020",

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doi = "10.1016/j.athoracsur.2019.10.086",

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AU - Lim, Ju Yong

AU - Lee, Jun Hee

AU - Shim, Jae Min

AU - Lee, Eun Joo

AU - Chung, Jae Ho

AU - Jung, Jae Seung

AU - Son, Ho Sung

AU - Lee, Sung Ho

PY - 2020/7

Y1 - 2020/7

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85086451920

U2 - 10.1016/j.athoracsur.2019.10.086

DO - 10.1016/j.athoracsur.2019.10.086

M3 - Article

C2 - 31877286

AN - SCOPUS:85086451920

SN - 0003-4975

VL - 110

SP - e13-e14

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 1

ER -

Rescue Extracorporeal Bypass to Prevent Atrioesophageal Fistula-related Air Embolism

Abstract

Bibliographical note

ASJC Scopus subject areas

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