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Published in: Journal of Medical Case Reports 1/2016

Open Access 01-12-2016 | Case report

Esophageal perforation after perioperative transesophageal echocardiography: a case report

Authors: Hyun-Chang Kim, Jung-Hyou Oh, Yong-Cheol Lee

Published in: Journal of Medical Case Reports | Issue 1/2016

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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.
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Metadata
Title
Esophageal perforation after perioperative transesophageal echocardiography: a case report
Authors
Hyun-Chang Kim
Jung-Hyou Oh
Yong-Cheol Lee
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-1131-0

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