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Interact Cardiovasc Thorac Surg · Sep 2010
Case ReportsOesophageal perforation complicating intraoperative transoesophageal echocardiography: suspicion can save lives.
- Hany Elsayed, Richard Page, Seema Agarwal, and John Chalmers.
- Department of Cardiothoracic, Liverpool Heart and Chest Hospital, Liverpool, UK. Hany.el-sayed@lhch.nhs.uk
- Interact Cardiovasc Thorac Surg. 2010 Sep 1; 11 (3): 380-2.
AbstractOesophageal 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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