- 期刊
Unusual Cause of Esophageal Perforation during Intraoperative Transesophageal Echocardiography Monitoring for Cardiac Surgery - A Case Report
心血管手術中使用經食道超音波因不尋常鈣化淋巴結造成食道穿孔的併發症
並列摘要
Although 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.
延伸閱讀
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