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recurance

Sandra Higham

3 Nov 2014 · Coroner Henrietta Hill · London (Inner South)

The coroner's concerns

  1. 1. atrial-oesophageal fistula

    “The development of an atrial-oesophageal fistula is a very rare, but known, risk of the ablation procedure (developing in around 0.01-0.2% of cases of percutaneous ablation and around 1-1.5% of cases of surgical ablation).”
  2. 2. atrial-oesophageal fistula

    “If an atrial-oesophageal fistula does develop, it has a very high mortality rate (reported to be 67-100%).”
  3. 3. delayed or missed diagnosis of atrial-oesophageal fistula

    “Diagnosing an atrial-oesophageal fistula can be difficult, especially in an acute medical setting, given its range of non-specific symptoms and duration of onset, and the lack of awareness within the wider medical profession of such a fistula being a risk of the ablation procedure.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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