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Atrial-Esophageal Fistula

Imaging findings

Patient with air in the left ventricle and a dilated esophagus following a recent atrial ablation for AFib. CT showed a direct communication/thrombus extending into the left atrium.

Key takeaways

Atrial-esophageal fistula is a rare but life-threatening complication of atrial ablation. Air in the left side of the heart in a patient with a history of recent ablation is virtually diagnostic.

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