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고주파전극도자절제술 후 발생한 심방식도샛길과 감염심내막염에 의한 다발색전 뇌경색

Multiple Embolic Infarcts Caused by Infective Endocarditis Associated with Atrioesophageal Fistula after Percutaneous Radiofrequency Catheter Ablation for Atrial Fibrillation

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초록

Infective endocarditis (IE) is not a common cause of stroke. Considering the high mortality rates, however, IE should always be considered as a possible cause of stroke even when the chances are low. Atrioesophageal fistula is a life-threatening condition that can cause IE and subsequent stroke, but the diagnosis is often delayed due to its rarity. We report a case of multiple embolic infarcts caused by infective endocarditis associated with atrioesophageal fistula after radiofrequency catheter ablation for atrial fibrillation.

Abstract

Infective endocarditis (IE) is not a common cause of stroke. Considering the high mortality rates, however, IE should always be considered as a possible cause of stroke even when the chances are low. Atrioesophageal fistula is a life-threatening condition that can cause IE and subsequent stroke, but the diagnosis is often delayed due to its rarity. We report a case of multiple embolic infarcts caused by infective endocarditis associated with atrioesophageal fistula after radiofrequency catheter ablation for atrial fibrillation.

참고문헌 (10)

  1. Beynon RP, "Infective endocarditis", BMJ, 333, pp.334~339 (2006)
  2. Kim SH, "Neurologic complications of infective endocarditis : retrospective review of 100 cases", J Korean Neurol Assoc, 19, pp.202~206 (2001)
  3. Jayasuriya S, "Infectious endocarditis with systemic septic embolization as a rare complication of cardiac catheterization", Exp Clin Cardiol, 14, pp.e17~e20 (2009)[DOI]
  4. Dagres N, "Complications of atrial fibrillation ablation in a high-volume center in 1, 000 procedures : still cause for concern", J Cardiovasc Electrophysiol, 20, pp.1014~1019 (2009)
  5. Chavez P, "Atrioesophageal fistula following ablation procedures for atrial fibrillation : systematic review of case reports", Open Heart, 2, pp.e000257~ (2015)
  6. Al-Alao B, "Atrio-oesophageal fistula : dismal outcome of a rare complication with no common solution", Interact Cardiovasc Thorac Surg, 23, pp.949~956 (2016)
  7. Mackle T, "Atrioesophageal fistula after ablation for atrial fibrillation", J Emerg Med, 53, pp.e1~e4 (2017)[DOI]
  8. 심훈보, "Successful Management of Atrio-Esophageal Fistula after Cardiac Radiofrequency Catheter Ablation", Journal of Chest Surgery, 46(2), pp.142~145 (2013), 대한심장혈관흉부외과학회
  9. Nair GM, "Atrioesophageal fistula in the era of atrial fibrillation ablation : a review", Can J Cardiol, 30, pp.388~395 (2014)
  10. Nair KK, "Atrioesophageal fistula : a review", J Atr Fibrillation, 8, pp.1331~ (2015)

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