Abstract

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.

Details

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
Author
Kimura Aya 1 ; Mori, Takashi 1 ; Kihara Yuki 1 ; Watanabe Chie 1 ; Tanaka Katsuaki 1 ; Yamada Tokuhiro 1 ; Yoshida Atushi 2 ; Kawabe Joji 2 ; Sakon Yoshito 3 ; Sibata Toshihiko 3 ; Nishikawa Kiyonobu 1 

 Osaka City University Graduate School of Medicine, Department of Anesthesiology, Osaka, Japan (GRID:grid.261445.0) (ISNI:0000 0001 1009 6411) 
 Osaka City University Graduate School of Medicine, Department of Nuclear Medicine, Osaka, Japan (GRID:grid.261445.0) (ISNI:0000 0001 1009 6411) 
 Osaka City University Graduate School of Medicine, Department of Cardiovascular Surgery, Osaka, Japan (GRID:grid.261445.0) (ISNI:0000 0001 1009 6411) 
Publication year
2019
Publication date
Dec 2019
Publisher
Springer Nature B.V.
e-ISSN
23639024
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2427185364
Copyright
© The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.