Esophageal perforation after perioperative transesophageal echocardiography: a case report
نویسندگان
چکیده
BACKGROUND Transesophageal echocardiography is widely used in cardiac surgery. Transesophageal echocardiography probe insertion and manipulation can injure the esophagus. CASE PRESENTATION A 76-year-old Asian man was admitted to our hospital for coronary artery bypass graft revascularization surgery. A right carotid endarterectomy was successfully performed 2 days before coronary artery bypass graft revascularization surgery. After the coronary artery bypass graft revascularization surgery was done successfully, postoperative computed tomography and esophagography revealed perforation of the middle esophagus. The patient was managed with fasting, parenteral nutrition, and intravenous antibiotics. CONCLUSIONS Esophageal perforation can occur with transesophageal echocardiography probe insertion, even without difficulty or resistance, in patients with atherosclerotic disease. Appropriate imaging and vigilance for esophageal injury after a transesophageal echocardiography examination in patients with cardiovascular disease are necessary for appropriate diagnosis and treatment.
منابع مشابه
Gastroesophageal perforation after intraoperative transesophageal echocardiography.
THE use of transesophageal echocardiography for intraoperative monitoring of cardiac function is increasing. Complications are rare. Oropharyngeal injury and hypopharyngeal perforation during difficult insertion of the echoprobe in anesthetized patients have been reported. [1,2] One case of perforation of the cervical esophagus in an awake patient after multiple attempts at insertion of the ech...
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