{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:34:44Z","timestamp":1760027684978,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,11]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>We report a case of a 68-year-old woman who presented with atypical chest pain and fluctuating neurological symptoms 4\u2009weeks after cryoballoon ablation procedure for atrial fibrillation. Brain imaging showed multiple embolic infarcts, while the chest imaging revealed an abnormal connection between the posterior wall of the left atrium and the oesophagus. Based on her clinical presentation and the imaging findings, a diagnosis of left atrio-oesophageal fistula (AOF) was established. AOF carries a high mortality rate unless an urgent surgical repair is performed. Oesophageal instrumentation for an echocardiogram or endoscopy should be avoided as it can result in massive air embolus, causing stroke or death.<\/jats:p>","DOI":"10.1136\/bcr-2019-232508","type":"journal-article","created":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T13:49:51Z","timestamp":1607521791000},"page":"e232508","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Left atrio-oesophageal fistula after atrial fibrillation ablation"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9266-4212","authenticated-orcid":false,"given":"Vishesh","family":"Paul","sequence":"first","affiliation":[{"name":"Pulmonary & Critical Care Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajamurugan","family":"Meenakshisundaram","sequence":"additional","affiliation":[{"name":"Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdur R","family":"Jamal","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talha","family":"Bin Farooq","sequence":"additional","affiliation":[{"name":"Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082713111196000_13.12.e232508.1","DOI":"10.1161\/CIRCEP.113.000768"},{"doi-asserted-by":"publisher","key":"2025082713111196000_13.12.e232508.2","DOI":"10.1001\/jama.2009.2029"},{"key":"2025082713111196000_13.12.e232508.3","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1161\/CIRCULATIONAHA.119.042622","article-title":"Cryoballoon or radiofrequency ablation for atrial fibrillation assessed by continuous monitoring: a randomized clinical trial","volume":"140","author":"Andrade","year":"2019","journal-title":"Circulation"},{"doi-asserted-by":"publisher","key":"2025082713111196000_13.12.e232508.4","DOI":"10.1161\/CIRCULATIONAHA.117.025827"},{"doi-asserted-by":"publisher","key":"2025082713111196000_13.12.e232508.5","DOI":"10.1093\/europace\/eus027"},{"doi-asserted-by":"publisher","key":"2025082713111196000_13.12.e232508.6","DOI":"10.1016\/j.cjca.2013.12.012"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:11:17Z","timestamp":1756325477000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":6,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,9]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bcr-2019-232508"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232508","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}