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Esophageal perforation after perioperative transesophageal echocardiography: a case report

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Author(s)
Hyun-Chang KimJung-Hyou OhYong-Cheol Lee
Keimyung Author(s)
Lee, Yong CheolKim, Hyun Chang
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Journal of Medical Case Reports
Issued Date
2016
Volume
10
Issue
1
Keyword
Transesophageal echocardiographyComplicationsEsophageal perforationPostoperative periodCase report
Abstract
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.
Keimyung Author(s)(Kor)
이용철
김현창
Publisher
School of Medicine
Citation
Hyun-Chang Kim et al. (2016). Esophageal perforation after perioperative transesophageal echocardiography: a case report. Journal of Medical Case Reports, 10(1), 338–338. doi: 10.1186/s13256-016-1131-0
Type
Article
ISSN
1752-1947
DOI
10.1186/s13256-016-1131-0
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32468
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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