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 journalArticle

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 languageEnglish
Pages (from-to)e13-e14
JournalAnnals of Thoracic Surgery
Volume110
Issue number1
DOIs
Publication statusPublished - 2020 Jul

ASJC Scopus subject areas

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

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    Lim, J. Y., Lee, J. H., Shim, J. M., Lee, E. J., Chung, J. H., Jung, J. S., Son, H. S., & Lee, S. H. (2020). Rescue Extracorporeal Bypass to Prevent Atrioesophageal Fistula-related Air Embolism. Annals of Thoracic Surgery, 110(1), e13-e14. https://doi.org/10.1016/j.athoracsur.2019.10.086