A case of esophageal perforation after intraoperative transesophageal echocardiography in a patient with a giant left atrium: unexpectedly large distortion of the esophagus revealed on retrospectively constructed three-dimensional imaging.
Esophageal perforation
Giant left atrium
Mitral stenosis
Transesophageal echocardiography
Journal
JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121
Informations de publication
Date de publication:
15 Mar 2019
15 Mar 2019
Historique:
received:
26
12
2018
accepted:
05
03
2019
entrez:
7
2
2020
pubmed:
7
2
2020
medline:
7
2
2020
Statut:
epublish
Résumé
Esophageal perforation is a rare but serious complication of transesophageal echocardiography (TEE). An enlarged left atrium (LA), which is commonly associated with mitral stenosis (MS), is an under-recognized risk factor for esophageal perforation after intraoperative TEE. We describe a case of TEE-induced esophageal perforation after cardiac surgery in a 79-year-old woman with a giant LA due to MS. Esophageal perforation was detected on postoperative day 6. After surgical repair, the patient gradually recovered with prolonged conservative treatment. Retrospectively constructed three-dimensional chest computed tomography images revealed an unusually distorted esophagus that was possibly vulnerable to injury. A giant LA can markedly distort the esophagus. It should be recognized as a risk factor for TEE-induced esophageal perforation.
Sections du résumé
BACKGROUND
BACKGROUND
Esophageal perforation is a rare but serious complication of transesophageal echocardiography (TEE). An enlarged left atrium (LA), which is commonly associated with mitral stenosis (MS), is an under-recognized risk factor for esophageal perforation after intraoperative TEE.
CASE PRESENTATION
METHODS
We describe a case of TEE-induced esophageal perforation after cardiac surgery in a 79-year-old woman with a giant LA due to MS. Esophageal perforation was detected on postoperative day 6. After surgical repair, the patient gradually recovered with prolonged conservative treatment. Retrospectively constructed three-dimensional chest computed tomography images revealed an unusually distorted esophagus that was possibly vulnerable to injury.
CONCLUSION
CONCLUSIONS
A giant LA can markedly distort the esophagus. It should be recognized as a risk factor for TEE-induced esophageal perforation.
Identifiants
pubmed: 32026085
doi: 10.1186/s40981-019-0243-0
pii: 10.1186/s40981-019-0243-0
pmc: PMC6966746
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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