Esophago-Pericardial Fistula As a Rare and Life-Threatening Complication of Epicardial Ventricular Tachycardia Ablation

We describe a rare complication of esophago-pericardial fistula after epicardial ventricular tachycardia ablation. Echocardiogram revealed evidence of pneumopericardium and additional imaging studies confirmed esophageal leak with evidence of fistula formation requiring prompt surgical repair. (Level of Difficulty: Intermediate.).