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Updated: Apr 11, 2026

Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
Esophageal ulcer of unknown origin complicated by left atrial myxoma
Yuji Nishizaki1, Shinichiro Yamagami, Daisuke Hayakawa
1Department of Cardiology, Juntendo University Graduate School of Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan.
Abstract:
Myxoma induces the onset of paraneoplastic syndromes by excreting various humoral mediators and is therefore known to present with diverse symptoms. A 40-year-old woman was admitted to our hospital for the treatment of an esophageal ulcer, the cause of which could not be identified on various examinations. Notably, a left atrial tumor was incidentally found on chest enhanced computed tomography. The esophageal ulcer, which was intractable to conventional therapy, improved with the administration of 5-aminosalicylate, a drug known to inhibit IL-1β. This inhibitory action effectively suppressed the development of myxoma-induced paraneoplastic syndrome.
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