未经授权:心房食管瘘(AEF)是一种罕见的,但是死亡率很高,导管消融后并发症。目前,AEF没有标准的治疗方法。在这篇文章中,介绍1例确诊AEF的治疗过程,并回顾AEF的最新治疗进展。
未经授权:一名65岁的男子,在2周前接受导管消融术的患者,出现发烧,发冷,和失去知觉。血液培养物生长了草绿色链球菌。大脑的计算机断层扫描(CT)扫描显示大面积的左颅脑梗塞和右叶的空气栓塞。胸部CT显示左心房和食道之间有空气,以及心包积液.胃镜检查显示距离门牙35厘米的食管瘘。病人被诊断为AEF,脓毒症,和脑梗塞。诊断后进行紧急外科手术和支持治疗。最终,术后24天死于脓毒症和多器官功能衰竭.
UNASSIGNED:我们报告了1例诊断为AEF的治疗过程,并回顾了最新的治疗进展。AEF是导管消融后罕见但致命的并发症。目前,AEF的诊断和治疗存在严峻的挑战。重复胸部和头部CT/磁共振成像(MRI)对于识别异常表现至关重要。在治疗方面,一旦诊断出AEF,目前建议紧急手术修复。这种并发症应该引起更多的注意。
UNASSIGNED: Atrial-esophageal fistula (AEF) is a rare, but high mortality, complication after catheter ablation. At present, there is no standard treatment for AEF. In this article, we introduce the treatment process of a
case diagnosed with AEF and review the latest treatment progress of AEF.
UNASSIGNED: A 65-year-old man, who received catheter ablation 2 weeks prior, presented with fever, chills, and loss of consciousness. Blood cultures grew Streptococcus viridans. A computed tomography (CT) scan of the brain showed a large area of left craniocerebral infarction and air emboli in the right lobe. The chest CT demonstrated air between the left atrium and esophagus, as well as pericardial effusions. Gastroscopy showed an esophageal fistula 35 cm away from the incisor teeth. The patient was diagnosed with AEF, sepsis, and cerebral infarction. An urgent surgical operation and supportive treatments were performed after diagnosis. Eventually, he died of sepsis and multiple organ failure 24 days after surgery.
UNASSIGNED: We have reported the treatment process of one
case diagnosed with AEF and reviewed the latest treatment progress. AEF is a rare but lethal complication after catheter ablation. At present, austere challenges exist in the diagnosis and treatment of AEF. Repeat chest and head CT/magnetic resonance imaging (MRI) are essential for the identification of abnormal manifestations. In terms of treatment, urgent surgical repair is currently recommended once AEF is diagnosed. More attention should be paid to this complication.