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

Autor: Aya Kimura, Takashi Mori, Yuki Kihara, Chie Watanabe, Katsuaki Tanaka, Tokuhiro Yamada, Atushi Yoshida, Joji Kawabe, Yoshito Sakon, Toshihiko Sibata, Kiyonobu Nishikawa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: JA Clinical Reports, Vol 5, Iss 1, Pp 1-5 (2019)
Druh dokumentu: article
ISSN: 2363-9024
DOI: 10.1186/s40981-019-0243-0
Popis: Abstract 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 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 A giant LA can markedly distort the esophagus. It should be recognized as a risk factor for TEE-induced esophageal perforation.
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