Massive air embolism caused by an atrioesophageal fistula following isolation of the pulmonary veins for atrial fibrillation Vassil Traykov, MD, Galina.

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Presentation transcript:

Massive air embolism caused by an atrioesophageal fistula following isolation of the pulmonary veins for atrial fibrillation Vassil Traykov, MD, Galina Kirova, MD, PhD, Petko Karagyozov, MD, Daniel Marchov, MD, Genadi Kaninski, MD, Valeri Gelev, MD HeartRhythm Case Reports Volume 5, Issue 2, Pages 101-104 (February 2019) DOI: 10.1016/j.hrcr.2018.11.003 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Native head computed tomography scan demonstrating massive air collections in the cerebral arteries (arrows). HeartRhythm Case Reports 2019 5, 101-104DOI: (10.1016/j.hrcr.2018.11.003) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Cardiac computed tomography scan. A: Horizontal plane section demonstrating air collection at the left ventricular apex (arrow). B: Sagittal plane section demonstrating contrast leakage from the left atrium to the periesophageal tissues (arrow). The air collection at the left ventricular apex is visible in this section as well (arrowhead). C: Frontal plane section at the level of left atrium demonstrating intracavitary thrombosis attached to the posterior wall close to the antrum of the left inferior pulmonary vein. Ao = aorta; LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle. HeartRhythm Case Reports 2019 5, 101-104DOI: (10.1016/j.hrcr.2018.11.003) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Upper endoscopy demonstrating a deep ulcerative lesion at the anterior esophageal wall consistent with atrioesophageal fistula. HeartRhythm Case Reports 2019 5, 101-104DOI: (10.1016/j.hrcr.2018.11.003) Copyright © 2018 Heart Rhythm Society Terms and Conditions