Radiofrequency (RF) ablation for atrial fibrillation is commonly performed. Atrioesophageal fistulas are an uncommon complication of RF ablation and can present with status epilepticus due to an extensive vascular air embolus. Initial treatment may require a high level of suspicion of this rare occurrence to help prevent further injury and increase the likelihood of a meaningful recovery.
From the Department of Anesthesiology, University of Kansas School of Medicine, Wichita, Kansas.
Accepted for publication July 31, 2019.
The authors declare no conflicts of interest.
Address correspondence to Vinh K. Pham, MD, Department of Anesthesiology, University of Kansas School of Medicine - Wichita, 929 N St Francis, Room 8074, Wichita, KS 67214. Address e-mail to firstname.lastname@example.org.