J Korean Neurol Assoc.  2019 May;37(2):166-170. 10.17340/jkna.2019.2.8.

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

Affiliations
  • 1Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. hsnam@yuhs.ac

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.

Keyword

Stroke; Endocarditis; Esophageal fistula

MeSH Terms

Atrial Fibrillation*
Catheter Ablation*
Diagnosis
Endocarditis*
Esophageal Fistula
Fistula*
Mortality
Stroke
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