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

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 PRESENTA...

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Autores principales: Kimura, Aya, Mori, Takashi, Kihara, Yuki, Watanabe, Chie, Tanaka, Katsuaki, Yamada, Tokuhiro, Yoshida, Atushi, Kawabe, Joji, Sakon, Yoshito, Sibata, Toshihiko, Nishikawa, Kiyonobu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966746/
https://www.ncbi.nlm.nih.gov/pubmed/32026085
http://dx.doi.org/10.1186/s40981-019-0243-0
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author Kimura, Aya
Mori, Takashi
Kihara, Yuki
Watanabe, Chie
Tanaka, Katsuaki
Yamada, Tokuhiro
Yoshida, Atushi
Kawabe, Joji
Sakon, Yoshito
Sibata, Toshihiko
Nishikawa, Kiyonobu
author_facet Kimura, Aya
Mori, Takashi
Kihara, Yuki
Watanabe, Chie
Tanaka, Katsuaki
Yamada, Tokuhiro
Yoshida, Atushi
Kawabe, Joji
Sakon, Yoshito
Sibata, Toshihiko
Nishikawa, Kiyonobu
author_sort Kimura, Aya
collection PubMed
description 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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spelling pubmed-69667462020-02-04 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 Kimura, Aya Mori, Takashi Kihara, Yuki Watanabe, Chie Tanaka, Katsuaki Yamada, Tokuhiro Yoshida, Atushi Kawabe, Joji Sakon, Yoshito Sibata, Toshihiko Nishikawa, Kiyonobu JA Clin Rep Case Report 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. Springer Berlin Heidelberg 2019-03-15 /pmc/articles/PMC6966746/ /pubmed/32026085 http://dx.doi.org/10.1186/s40981-019-0243-0 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Kimura, Aya
Mori, Takashi
Kihara, Yuki
Watanabe, Chie
Tanaka, Katsuaki
Yamada, Tokuhiro
Yoshida, Atushi
Kawabe, Joji
Sakon, Yoshito
Sibata, Toshihiko
Nishikawa, Kiyonobu
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966746/
https://www.ncbi.nlm.nih.gov/pubmed/32026085
http://dx.doi.org/10.1186/s40981-019-0243-0
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