Conservative Management of Iatrogenic Esophageal Perforation During Neonatal Cardiac Surgery
Autor: | Takashi Sasaki, Sanjiv K. Gandhi, Gordon Culham |
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Rok vydání: | 2012 |
Předmět: |
Cardiac function curve
medicine.medical_specialty Conservative management business.industry Endotracheal intubation General Medicine Airway obstruction medicine.disease Surgery Cardiac surgery Hemodynamic compromise Pediatrics Perinatology and Child Health medicine Nasogastric tube insertion Esophageal injury Cardiology and Cardiovascular Medicine business human activities |
Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 3:528-530 |
ISSN: | 2150-136X 2150-1351 |
DOI: | 10.1177/2150135112443268 |
Popis: | Esophageal perforation is a rare, but life threatening, entity in children. The most common iatrogenic causes include nasogastric tube insertion, stricture dilation, or endotracheal intubation. Recently, transesophageal echocardiography (TEE) has been increasingly used in pediatric cardiac surgery to assess cardiac function and structural abnormalities. The safety of TEE in children is still controversial and complications such as airway obstruction, hemodynamic compromise, and esophageal injury have been reported. We recently experienced a case of esophageal perforation caused by TEE probe insertion during neonatal cardiac surgery; two weeks of conservative management resulted in complete resolution of the injury. |
Databáze: | OpenAIRE |
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