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Nature Clinical Practice Cardiovascular Medicine (2007) 4, 578-579
doi:10.1038/ncpcardio1010  
Received 17 June 2007 | Accepted 22 August 2007 | Published online: 25 September 2007

Atrioesophageal fistula—a dangerous complication of catheter ablation for atrial fibrillation

Mauricio Scanavacca*, Denise Hachul and Eduardo Sosa

Correspondence *Unidade Clínica de Arritmia, Instituto do Coração da Faculdade de Medicina da, Universidade de São Paulo, Avenue Dr Enéas de Carvalho de Aguiar 44, CEP 05403–000, São Paulo, Brazil

Email
 mauricio.scanavacca@incor.usp.br

Atrioesophageal fistula is a rare but potentially fatal complication of radiofrequency catheter ablation for atrial fibrillation. Early recognition of this condition is crucial, and raising awareness could help reduce mortality. Here, Scanavacca et al. discuss how and why fistulas occur, and suggest ways in which they could be avoided in future.

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