Published in:
Open Access 01-12-2021 | Transesophageal Echocardiography | Case report
Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report
Published in: Journal of Cardiothoracic Surgery | Issue 1/2021
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Background
Large esophageal perforations are challenging and often treated with exclusion or resection. This case demonstrates the feasibility of definitive surgical repair of a large esophageal perforation using large bovine pericardial patch.
Case
A patient with missed Boerhaave Syndrome underwent transesophageal echocardiography causing worsening perforation and sepsis. At thoracotomy and faced with a large esophageal defect, a large Bovine pericardial patch was used for repair with omentopexy. The patient recovered promptly and at 8 months was asymptomatic with satisfactory studies.
Conclusion
Xenograft pericardium is available and widely used for vascular reconstructions. It’s use for primary repair of large esophageal perforations should be considered.