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Clinical Journal of Gastroenterology
Published in: Clinical Journal of Gastroenterology 5/2020

01-10-2020 | Transesophageal Echocardiography | Case Report

Massive esophageal hemorrhage after a MitraClip procedure successfully treated by balloon compression

Authors: Ippei Tanaka, Hiroaki Saito, Tomoki Matsuda, Takashi Matsumoto, Yoshiko Munehisa, Rie Fujii, Dai Hirasawa

Published in: Clinical Journal of Gastroenterology | Issue 5/2020

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Abstract

MitraClip procedure is an effective treatment for mitral regurgitation, performed globally. During the MitraClip procedure, transesophageal echocardiography is an essential modality to perform the operation safely. Although a few transesophageal echocardiography-related complications, such as esophageal hematoma, have been reported, there are no reports on massive esophageal bleeding after the MitraClip procedure. We present the first case of massive esophageal hemorrhage caused by transesophageal echocardiography after a MitraClip procedure and the successful treatment by balloon compression using a Sengstaken–Blakemore tube.
Literature
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El-Chami MF, Martin RP, Lerakis S. Esophageal dissection complicating transesophageal echocardiogram the lesson to be learned: do not force the issue. Jam Soc Echocardiogr. 2006;19(579):e5–7.
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Hilberath JN, Oakes DA, Shernan SK, et al. Safety of transesophageal echocardiography. J Am Soc Echocardiogr. 2010;23:1115–27.CrossRefPubMed
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Preqowski J, Skowronski J, Chmielak Z, et al. Iatrogenic transmural oesophageal haematoma after a MitraClip procedure. Kardiol Pol. 2019;77:397.CrossRef
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Orihashi K, Sueda T, Matsuura Y, et al. Buckling of transesophageal echocardiography probe: a pitfall at insertion in an anesthetized patient. Hiroshima J Med Sci. 1993;42:155–7.PubMed
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Metadata
Title
Massive esophageal hemorrhage after a MitraClip procedure successfully treated by balloon compression
Authors
Ippei Tanaka
Hiroaki Saito
Tomoki Matsuda
Takashi Matsumoto
Yoshiko Munehisa
Rie Fujii
Dai Hirasawa
Publication date
01-10-2020
Publisher
Springer Singapore
Published in
Clinical Journal of Gastroenterology / Issue 5/2020
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-020-01160-1

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