Atrioesophageal fistula secondary to pulmonary vein cryo-ablation

We report the case of a 31-year-old man with paroxismal atrial fibrillation treated with pulmonary vein isolation (PVI) with cryo-balloon. Early after discharge he presented a transient mild haemoptysis and fever. Four weeks later he was re-admitted for recurring fever, headache, and absence seizures. Brain-CT scan showed multiple bilateral hemispheric emboli ( Panel …