ArticleJACC. Case reports2026
Suspected Atrioesophageal Fistula After Atrial Fibrillation Ablation: A Conservative Approach.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
case summaryBlood cultures yielded Streptococcus salivarius/anginosus. Broad-spectrum antibiotics were initiated and later escalated to include gram-positive bacteria and anaerobic bacterial coverage for presumed polymicrobial infection. The patient was kept nothing by mouth and started on total parenteral nutrition. Computed tomography found an outpouching of the posterior left atrial wall, raising concern for AEF. Repeat computed tomography demonstrated no abnormality, and serial blood cultures remained sterile. The patient exhibited nearly full clinical recovery after 6 weeks of antibiotic therapy. DISCUSSION: Diagnosis and treatment of AEF remains a significant clinical challenge. This case highlights conservative management of suspected AEF through antibiotic therapy and diet modification. TAKE-HOME MESSAGE: Conservative treatment of suspected AEF may be possible with early recognition of symptomatic presentation.
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