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Updated: Nov 4, 2025

Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
Atrioesophageal Fistula as a Complication of Radiofrequency Ablation for Atrial Fibrillation
Mustafa Emin Canakci1, Cengiz Ovali2, İrem Aydogdu1
1Emergency Department, Eskisehir Osmangazi University, Eskisehir, Turkey.
Abstract:
Atrioesophageal fistula (AEF) is an important complication of radiofrequency ablation (RFA). Delayed diagnosis is associated with increased morbidity and mortality. Despite the name "atrioesophageal fistula," fistulas functionally act esophageal to atrial, which accounts for the neurologic and infectious complications. This report presents the management of a 60-year-old male patient who was admitted to the emergency department (ED) with AEF-caused gastrointestinal bleeding. The patient was operated urgently, but he had serious comorbidities and died after the operation. The aim of this case was to evaluate patients who underwent RFA, within 10 days to two months, carefully in the ED and to know the possible complications.
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