-
Acta Anaesthesiol. Sin. · Sep 2003
Case ReportsUnusual cause of esophageal perforation during intraoperative transesophageal echocardiography monitoring for cardiac surgery--a case report.
- Ming-Wen Pong, Su-Man Lin, Sheng-Chin Kao, Chi-Chun Chu, Chien-Kun Ting, and Shen-Kou Tsai.
- Department of Anesthesiology, National Yang-Ming University, Taipei-Veterans General Hospital, Taipei, Taiwan, R.O.C.
- Acta Anaesthesiol. Sin. 2003 Sep 1; 41 (3): 155-8.
AbstractAlthough esophageal perforation after transesophageal echocardiographic (TEE) examination is rare yet the occurrence of this life-threatening complication is increasing. We report an unusual esophageal perforation occurring 4 days after coronary artery bypass graft surgery and Bentall's procedure. The perforation was due to inadvertent injury of the esophagus that was deformed and distorted by a large calcified lymph node in the mediastinum during intraoperative TEE instrumentation. We suggest that careful preoperative radiological examination of the mediastinum should be done to recognize the anatomical pathology in patient whose routine chest X-ray has disclosed a large calcified lymph node in the mediastinum, if he happens to undergo TEE, so as to avoid disastrous esophageal perforation.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..