Atrio-esohageal fistula following left atrial ablation

Discussion:

Atrioesophageal fistula formation is a potential complication of ablation for atrial fibrillation because the esophagus is directly posterior to the left atrium. This complication has a high mortality rate. Findings are often subtle and a high index of suspicion is required. In this case, the fistula was successfully repaired and the patient was discharged from the hospital after one month. 

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