trio-Esophageal Fistula with Acute Neurological Presentation Following Atrial Fibrillation Ablation: A Case Report

Authors

Tanguy LAFFORT, MD Department of Neuroradiology, CH Pau
Rozenn Mainguy, MD Department of Neuroradiology, CH Pau

DOI:

Abstract

Atrio-esophageal fistula (AEF) is a rare but catastrophic complication most commonly occurring after left atrial ablation procedures for atrial fibrillation. The condition carries an extremely high mortality rate if not promptly recognized.

It remains a diagnostic and therapeutic challenge due to its nonspecific clinical presentation and rapid progression. Early suspicion, prompt imaging (contrast-enhanced CT), and urgent surgical repair are critical for survival.

Here, we report the case of a 39-year-old patient who presented with neurological deficits,sepsis and chest pain 3 weeks after undergoing radiofrequency ablation for atrial fibrillation and was ultimately diagnosed with AEF.

39-year-old male with atrio-esophageal fistula after atrial fibrillation ablation.

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Published

2026-03-31

Issue

Vol. 20 No. 3 (2026)

Section

Cardiac Imaging

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