Highlights atrio-oesophageal fistula as a rare, life-threatening complication of radiofrequency ablation for atrial fibrillation that can present with sepsis and neurological symptoms.
Raises suspicion for atrio-oesophageal fistula in post-ablation patients with sepsis or neurology; case report leaves open incidence and prevention questions.
A 72-year-old presented with features of sepsis, neurological sequelae and chest pain after a radiofrequency ablation for AF. Chest CT scan revealed a life-threatening condition not previously reported in emergency medicine journals.
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Hazell et al. (2009) studied this question.
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