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Case Report: Fatal atrioesophageal fistula following atrial fibrillation ablation—critical reflections on prevention

Frontiers in Cardiovascular Medicine

Radiofrequency ablation (RFA) is an important therapeutic modality for atrial fibrillation (AF), widely utilized in clinical practice due to its safety and significant efficacy. This case report describes a unique instance of a patient developing AEF following AF ablation, accompanied by ischemic stroke and myocardial infarction.

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Progressive Cardiogenic Shock After Catheter Ablation in a Man Aged 78 Years

JAMA Cardiology

This case report discusses progressive cardiogenic shock in a man aged 78 years after catheter ablation for ventricular tachycardia.

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PO-02-060 OUTCOMES ASSOCIATED WITH EMERGENT EXTRACORPOREAL MEMBRANE OXYGENATION AND CATHETER ABLATION IN PATIENTS WITH CARDIOGENIC SHOCK RELATED TO ELECTRICAL STORM

HeartRhythm

Electrical storm (ES) complicated by cardiogenic shock (CS) is associated with high risk of morbidity and mortality.

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PO-02-034 CARDIOGENIC SHOCK AND PNEUMOPERICARDIUM: A RARE PRESENTATION OF ATRIOESOPHAGEAL FISTULA

HeartRhythm

Atrioesophageal fistula (AEF) is a rare but lethal complication of radiofrequency atrial fibrillation ablation. Symptoms are frequently non-specific, and generally include fevers, rigors, focal neurological deficits, and seizures. A high index of suspicion is needed to guide early diagnosis and surgical management.

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American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

ET Main Tent (Hall B1) Self-expanding Versus Balloon-expandable Transcatheter Aortic Valve Replacement in Patients with Small Aortic Annuli: Primary Outcomes from the Randomized Smart Trial Effect of Edetate Disodium Based Chelation Infusions on Cardiovascular Events in Post-MI Patients with Diabetes: The TACT2 Trial Long-term Beta-blocker Treatment (..)

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. RCA — 100% proximal occlussion.

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Published Research

Society of Thoracic Surgeons - Research

Scott Rankin Associations Between Surgical Ablation and Operative Mortality After Mitral Valve Procedures The Annals of Thoracic Surgery June 2018 A. Chris Malaisrie Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting The Journal of Thoracic and Cardiovascular Surgery June 2018 J.