Atrial-esophageal fistula is an extremely rare condition but is often a deleterious complication following catheter ablation for atrial fibrillation. The associated iatrogenic communication acts as a conduit for air and bacterial translocation, which may lead to cerebral air embolism and polymicrobial sepsis, respectively. Coupled with a history of invasive procedures, the diagnosis is largely based on the accompanying neurological symptoms. In this report, we present the case of a 73-year-old female who presented with neurological deficits attributed to cerebral vascular emboli three weeks after catheter ablation for the treatment of chronic atrial fibrillation.
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Islam, Momin; Al Hennawi, Hussam; Khedr, Anwar; Harmouch, Khaled; and Mathbout, Mohammad F., "The Undesirable Communication: A Case of Cerebral Air Emboli in the Setting of Atrio-Esophageal Fistula Following Atrial Fibrillation Catheter Ablation" (2022). Abington Jefferson Health Papers. Paper 70.