Key result
Atrioesophageal fistula is a rare, high-mortality complication of atrial fibrillation ablation that lacks a typical clinical presentation and requires high clinical suspicion.
Transthoracic echocardiography may be used to detect atrioesophageal fistula, a rare but highly lethal complication of atrial fibrillation ablation.
Supports post-ablation vigilance despite variable presentations; leaves open optimal detection and prevention strategies.
•AEF is a rare complication of AF ablation associated with high mortality risk.•There is no typical clinical presentation for such patients.•High clinical suspicion for AEF should be maintained after ablation.
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Tallawi et al. (2017) studied this question. Atrioesophageal fistula is a rare, high-mortality complication of atrial fibrillation ablation that lacks a typical clinical presentation and requires high clinical suspicion.
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