Revision 5 for 'Atrial-esophageal fistula'

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Atrial-Esophageal Fistula

Atrial-Esophageal Fistulas are rare pathological connections between the left atrium and the esophagus. 

Clinical Presentation

Symptoms can include:

  • Fever
  • Neurological deficits 
  • Hematemesis 
  • Altered Mental Status
  • Chest Pain
  • Seizures
  • Nausea/Vomiting
  • Loss of Consciousness
  • Dysphagia
  • Abdominal Pain
  • Headache
  • Cough
  • Melena
  • Odynophagia
  • Dyspepsia

Pathology

The chief cause of atrial-esophageal fistulas in modern medicine is iatrogenic in ablation procedures of the heart. Although theoretically many mediastinal pathologies or procedures could also cause a fistula. 

Complications
  • Air embolism
  • Pneumomediastinum 
  • Pericardial effusion 
  • Infection 

Radiographic Features

Treatment and Prognosis

 

 

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