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World J Pediatr Congenit Heart Surg · Oct 2012
Conservative management of iatrogenic esophageal perforation during neonatal cardiac surgery.
- Takashi Sasaki, Gordon Culham, and Sanjiv K Gandhi.
- Division of Cardiovascular and Thoracic Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada.
- World J Pediatr Congenit Heart Surg. 2012 Oct 1; 3 (4): 528-30.
AbstractEsophageal perforation is a rare, but life threatening, entity in children. The most common iatrogenic causes include nasogastric tube insertion, stricture dilation, or endotracheal intubation. Recently, transesophageal echocardiography (TEE) has been increasingly used in pediatric cardiac surgery to assess cardiac function and structural abnormalities. The safety of TEE in children is still controversial and complications such as airway obstruction, hemodynamic compromise, and esophageal injury have been reported. We recently experienced a case of esophageal perforation caused by TEE probe insertion during neonatal cardiac surgery; two weeks of conservative management resulted in complete resolution of the injury.
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