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

Title
 Coronary Air Embolism Associated With Atrioesophageal Fistula After Ablation of Atrial Fibrillation 
Authors
 Chi Young Shim ; Seung-Yul Lee ; Hui-Nam Pak 
Issue Date
2013
Journal Title
 Canadian Journal of Cardiology 
ISSN
 0828-282X 
Citation
 Canadian Journal of Cardiology, Vol.29(10) : 1329.e17~1329.e19, 2013 
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87872
DOI
10.1016/j.cjca.2013.05.011
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://www.sciencedirect.com/science/article/pii/S0828282X13003292
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