Evidence map›Paper›PMID 40351453›Full record

ArticleEuropean heart journal. Case reports2025

A case of acute acalculous cholecystitis after pulmonary vein isolation-novel phenotype of perioesophageal vagal nerve injury: a case report.

Satoshi Ishii, Junya Hosoda, Kohei Iguchi, Kazuki Fukui, Kiyoshi Hibi

Abstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Satoshi IshiiDepartment of Cardiology, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.ORCID https://orcid.org/0000-0003-0631-4732
Junya HosodaDepartment of Cardiology, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
Kohei IguchiDepartment of Cardiology, Kanagawa Cardiovascular and Respiratory Center, 6-16-1 Tomioka-higashi, Kanazawa-ku, Yokohama 236-0051, Japan.
Kazuki FukuiDepartment of Cardiology, Kanagawa Cardiovascular and Respiratory Center, 6-16-1 Tomioka-higashi, Kanazawa-ku, Yokohama 236-0051, Japan.
Kiyoshi HibiDepartment of Cardiology, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Perioesophageal vagal nerve injury related to pulmonary vein isolation using radiofrequency catheter ablation sometimes causes somatic symptoms including gastric dilation and motility disorder. However, reports of acute acalculous cholecystitis after pulmonary vein isolation are rare. Case summary: We report a case of a 64-year-old man diagnosed with paroxysmal atrial fibrillation. No acute complications occurred on the day of the procedure, but he complained of epigastric pain 27 h after the ablation procedure. He was diagnosed with mild acute acalculous cholecystitis and underwent laparoscopic cholecystectomy. Discussion: Vagal nerve injury appears to be related to the development of acute acalculous cholecystitis because many patients with acute cholecystitis after abdominal surgery along with resection of vagal nerve have acute acalculous cholecystitis. We speculate that acute acalculous cholecystitis after pulmonary vein isolation is one phenotype of perioesophageal vagal nerve injury.

Indexed as

Acute acalculous cholecystitisCase reportPerioesophageal vagal nerve injuryPulmonary vein isolation

Identifiers

PMID40351453
PMCPMC12063096

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.