Esophageal perforation after transesophageal echocardiogram

被引：10

作者：

Shapira, MY ^{[1
]}

Hirshberg, B ^{[1
]}

Agid, R ^{[1
]}

Zuckerman, E ^{[1
]}

Caraco, Y ^{[1
]}

机构：

[1] Hebrew Univ Jerusalem, Hadassah Univ Hosp, Hadassah Med Sch, Div Med, IL-91120 Jerusalem, Israel

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 1999年 / 16卷 / 02期

关键词：

esophageal leak; iatrogenic; Shapira-Bravermen sign;

D O I：

10.1111/j.1540-8175.1999.tb00797.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Esophageal rupture after transesophageal echocardiogram (TEE) is a rare but life-threatening complication. Risk factors for perforation include spasm or hypertrophy of the cricopharyngeal sphincter, cervical arthritis, forward and left Lateral bending of the distal esophagus, and esophageal disease such as inflammation or neoplasm. We present the case of a 80-year-old woman who developed perforation of her esophagus after TEE. Prior irradiation to the chest due to treatment for breast cancer and subsequent fibrosis probably contributed to this complication. Physicians referring patients for a TEE and physicians performing this procedure should be aware for the risk of perforation. The identification of risk factors and gentle maneuvering of the probe may prevent this severe, life-threatening complication.

引用

页码：151 / 154

页数：4

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