Atrio-esophageal fistula
Updates to Freetext Attributes
Authors: Kamil Abu-Shaban, Xiaochen Liu, MD, Bruce Siders DO
Updates to Study Attributes
Development of extensive air scattered throughout the brain. This This is likely air emboli secondary to a atrial esophagealan atrio-esophageal fistula. Poor graygrey-white matter differentiation and loss of sulci suggesting diffuse cerebral edema, ischemia, and/or infarction.
Updates to Case Attributes
This patient presented to the emergency department one month-month post-radiofrequency ablation for atrial fibrillation with a positive COVID-19 test and hematemesis. Chest Xx-ray was positive for bilateral infiltrates. GI was consulted for “COVID-19 GI Bleed” and an EGD was performed to evaluate the hematemesis. The patient passed away from widespread air emboli in the brain. CT-angiography detected an atrio-esophageal fistula as a complication of the radiofrequency ablation. Widespread systemic air emboli were likely introduced through the fistula during EGD.
Case contributed by: Kamil Abu-Shaban, Xiaochen Liu MD & Bruce Siders DO.
-<p>This patient presented to the emergency department one month post-radiofrequency ablation for atrial fibrillation with a positive COVID-19 test and hematemesis. Chest X-ray was positive for bilateral infiltrates. GI was consulted for “COVID-19 GI Bleed” and an EGD was performed to evaluate the hematemesis. The patient passed away from widespread air emboli in the brain. CT-angiography detected an atrio-esophageal fistula as a complication of the radiofrequency ablation. Widespread systemic air emboli were likely introduced through the fistula during EGD.</p><p> </p><p> </p>- +<p>This patient presented to the emergency department one-month post-radiofrequency ablation for atrial fibrillation with a positive COVID-19 test and hematemesis. Chest x-ray was positive for bilateral infiltrates. GI was consulted for “COVID-19 GI Bleed” and an EGD was performed to evaluate the hematemesis. The patient passed away from widespread air emboli in the brain. CT detected an atrio-esophageal fistula as a complication of the radiofrequency ablation. Widespread systemic air emboli were likely introduced through the fistula during EGD.</p><p>Case contributed by: Kamil Abu-Shaban, Xiaochen Liu MD & Bruce Siders DO.</p>