The Elusive Atrioesophageal Fistula: An Approach to Prevent Diagnostic
and Therapeutic Delays
AbstractThis case of a 32 year-old-man with recent radiofrequency ablation
presenting with chest pain highlights the diagnostic challenge of
atrioesophageal fistulas. Management should include blood cultures,
complete blood count, serial computed tomography of the chest with
intravenous and oral contrast, broad spectrum antibiotics and referral
to a cardiothoracic surgeon.