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

Chi Young Shim; Seung Yul Lee; Hui Nam Pak

doi:10.1016/j.cjca.2013.05.011

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

Chi Young Shim, Seung Yul Lee, Hui Nam Pak

Department of Internal Medicine

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

7 Citations (Scopus)

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	https://doi.org/10.1016/j.cjca.2013.05.011
Publication status	Published - 2013 Oct

Bibliographical note

Funding Information:
This work was supported by a grant (A085136) from the Korea Health 21 R&D Project, Ministry of Health and Welfare, and from the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (MSIP) (7-2013-0362).

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine

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10.1016/j.cjca.2013.05.011

Cite this

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title = "Coronary Air Embolism Associated With Atrioesophageal Fistula After Ablation of Atrial Fibrillation",

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.",

author = "Shim, {Chi Young} and Lee, {Seung Yul} and Pak, {Hui Nam}",

note = "Funding Information: This work was supported by a grant (A085136) from the Korea Health 21 R&D Project, Ministry of Health and Welfare, and from the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (MSIP) (7-2013-0362). ",

year = "2013",

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doi = "10.1016/j.cjca.2013.05.011",

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AU - Shim, Chi Young

AU - Lee, Seung Yul

AU - Pak, Hui Nam

N1 - Funding Information: This work was supported by a grant (A085136) from the Korea Health 21 R&D Project, Ministry of Health and Welfare, and from the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (MSIP) (7-2013-0362).

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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.

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

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

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