Oesophageal perforation complicating intraoperative transoesophageal echocardiography: Suspicion can save lives

Department of Cardiothoracic, Liverpool Heart and Chest Hospital, Liverpool, UK.
Interactive Cardiovascular and Thoracic Surgery (Impact Factor: 1.16). 09/2010; 11(3):380-2. DOI: 10.1510/icvts.2010.233338
Source: PubMed


Oesophageal injury is an extremely rare complication of intra-operative transoesophageal echocardiography (TOE) associated with cardiac surgery. We report a case of delayed presentation (19 days after surgery) of oesophageal injury that was likely due to TOE following an aortic valve replacement. Lack of suspicion led to a delay in diagnosis but the patient fortunately survived. We advocate that in the event of postoperative hydropneumothorax, the differential diagnosis must include iatrogenic oesophageal injury from transoesophageal echo.

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Available from: Hany Elsayed, Sep 01, 2015
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