Coronary Air Embolism Associated With Atrioesophageal Fistula After Ablation of Atrial Fibrillation

Chi Young Shim, Seung Yul Lee, Hui Nam Pak

Research output: Contribution to journalArticle

6 Citations (Scopus)


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 languageEnglish
Pages (from-to)1329.e17-1329.e19
JournalCanadian Journal of Cardiology
Issue number10
Publication statusPublished - 2013 Oct


All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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