Severe esophageal injury after radiofrequency ablation-a deadly complication

Severe esophageal injury after radiofrequency ablation-a deadly complication

Various degrees of esophageal injury have been described after radiofrequency ablation performed for treatment of atrial fibrillation. The main mechanism of injury is thermal and may lead to a range of esophageal mucosal changes, some clinically insignificant, however when deep ulceration occurs, th...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG Vol. 23; no. 18; pp. 3374 - 3378
Main Author: Nurit Katz-Agranov Moises I Nevah Rubin
Format: Journal Article
Language:English
Published: United States Baishideng Publishing Group Inc 14-05-2017
Subjects:
Aged
Atrial Fibrillation - surgery
Case Report
Catheter Ablation - adverse effects
Endoscopy
Esophageal Fistula - complications
Esophageal Perforation
Esophagoscopy - adverse effects
Esophagus - injuries
Fatal Outcome
Humans
Male
Mediastinitis
Ulcer
Radiofrequency ablation
Esophageal perforation
Ulceration
Atrial fibrillation
Mediastinitis
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Description
Summary:Various degrees of esophageal injury have been described after radiofrequency ablation performed for treatment of atrial fibrillation. The main mechanism of injury is thermal and may lead to a range of esophageal mucosal changes, some clinically insignificant, however when deep ulceration occurs, this may be further complicated by perforation and mediastinitis, a rare but life threatening sequelae. We present a case of a severe esophageal injury leading to mediastinitis, with interesting endoscopic findings.
Bibliography:Nurit Katz-Agranov;Moises I Nevah Rubin;Department of Internal Medicine, The University of Texas Health Science Center at Houston;Department of Gastroenterology Hepatology and Nutrition, the University of Texas Health Science Center at Houston
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
Author contributions: Katz-Agranov N reviewed the literature and wrote the paper; Nevah Rubin MI collected the patient’s clinical data and edited the paper.
Telephone: +1-713-5006500 Fax: +1-713-5006497
Correspondence to: Nurit Katz-Agranov, MD, Department of Internal Medicine, The University of Texas Health Science Center at Houston, 6431 Fannin, MSB 1.150, Houston, TX 77030, United States. nurit.s.katz@uth.tmc.edu
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v23.i18.3374