Abstract
A 68-year-old man presented with multiple embolic strokes and sepsis 50 days after catheter ablation of atrial fibrillation. Cardiac computed tomography scan demonstrated an atrioesophageal fistula at the left atrial posterior wall and hypermobile materials with hypoattenuating lesions in the left atrium. On the 12th hospital day, he presented with acute ST-elevation in the inferior leads. A bedside echocardiogram revealed unusually high myocardial echogenecity and akinesia on the right coronary artery territory. These findings disappeared within a few minutes. This case shows characteristic images of coronary air embolism in gas-containing endocarditis caused by atrioesophageal fistula after catheter ablation of atrial fibrillation.
| Original language | English |
|---|---|
| Pages (from-to) | 1329.e17-1329.e19 |
| Journal | Canadian Journal of Cardiology |
| Volume | 29 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 2013 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
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Coronary Air Embolism Associated With Atrioesophageal Fistula After Ablation of Atrial Fibrillation. / Shim, ChiYoung; Lee, Seung Yul; pak, huinam.
In: Canadian Journal of Cardiology, Vol. 29, No. 10, 01.01.2013, p. 1329.e17-1329.e19.Research output: Contribution to journal › Article
TY - JOUR
T1 - Coronary Air Embolism Associated With Atrioesophageal Fistula After Ablation of Atrial Fibrillation
AU - Shim, ChiYoung
AU - Lee, Seung Yul
AU - pak, huinam
PY - 2013/1/1
Y1 - 2013/1/1
N2 - A 68-year-old man presented with multiple embolic strokes and sepsis 50 days after catheter ablation of atrial fibrillation. Cardiac computed tomography scan demonstrated an atrioesophageal fistula at the left atrial posterior wall and hypermobile materials with hypoattenuating lesions in the left atrium. On the 12th hospital day, he presented with acute ST-elevation in the inferior leads. A bedside echocardiogram revealed unusually high myocardial echogenecity and akinesia on the right coronary artery territory. These findings disappeared within a few minutes. This case shows characteristic images of coronary air embolism in gas-containing endocarditis caused by atrioesophageal fistula after catheter ablation of atrial fibrillation.
AB - A 68-year-old man presented with multiple embolic strokes and sepsis 50 days after catheter ablation of atrial fibrillation. Cardiac computed tomography scan demonstrated an atrioesophageal fistula at the left atrial posterior wall and hypermobile materials with hypoattenuating lesions in the left atrium. On the 12th hospital day, he presented with acute ST-elevation in the inferior leads. A bedside echocardiogram revealed unusually high myocardial echogenecity and akinesia on the right coronary artery territory. These findings disappeared within a few minutes. This case shows characteristic images of coronary air embolism in gas-containing endocarditis caused by atrioesophageal fistula after catheter ablation of atrial fibrillation.
UR - http://www.scopus.com/inward/record.url?scp=84884544693&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884544693&partnerID=8YFLogxK
U2 - 10.1016/j.cjca.2013.05.011
DO - 10.1016/j.cjca.2013.05.011
M3 - Article
C2 - 23932328
AN - SCOPUS:84884544693
VL - 29
SP - 1329.e17-1329.e19
JO - Canadian Journal of Cardiology
JF - Canadian Journal of Cardiology
SN - 0828-282X
IS - 10
ER -