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Atrioesophageal fistula (AEF) is an uncommon, underreported, and typically fatal complication of left atrial (LA) catheter ablation for atrial fibrillation (AF). The prevalence of AEF in the literature has been reported as 0.03%, and is highly dependent upon physician reporting. AEF is associated with a mortality rate of over 80% and major cerebrovascular morbidity from septic thrombi and embolic stroke. We present a case of esophageal perforation following persistent AF catheter ablation, with successful avoidance of AE fistula formation, as a result of early diagnosis and treatment, including endoscopic evaluation of the covered stent 2 weeks following insertion.

the journal of innovations in cardiac rhythm management

Successful Treatment of Esophageal Perforation Following Atrial Fibrillation Ablation with a Fully Covered Esophageal Stent: Prevention of Atrial-Esophageal Fistula