Revision 6 for 'Atrial-esophageal fistula'All Revisions
Atrial-Esophageal Fistulas are rare pathological connections between the left atrium and the esophagus.
Symptoms can include:
- Neurological deficits
- Altered Mental Status
- Chest Pain
- Loss of Consciousness
- Abdominal Pain
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.
- Air embolism
- Pericardial effusion
Treatment and Prognosis
The treatment is surgical including resection and repair of the necrotic heart tissue and esophageal resection of fistulous area. Esophageal stenting can be used as a temporizing measure.
The mortality is between 40-80%.