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Case Reports
. 2004 Jul;99(1):41-44.
doi: 10.1213/01.ANE.0000120085.40108.24.

Late presentation of esophageal injury after transesophageal echocardiography

Drew A MacGregor  1 , David A Zvara, R Morris Treadway Jr, Jamal A Ibdah, James D Maloney, Neal D Kon, Robert D Riley
Affiliations
Case Reports

Late presentation of esophageal injury after transesophageal echocardiography

Drew A MacGregor et al. Anesth Analg. 2004 Jul.

Abstract

Esophageal injury is a rare complication of intraoperative transesophageal echocardiography (TEE) associated with cardiac surgery. We report two cases of delayed presentation (2 and 6 days after surgery) of esophageal injury that were likely due to TEE. The differential diagnosis of postoperative pleural effusion or anemia must include esophageal injury from TEE, even 6 days after the procedure.

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References

    1. Kallmeyer IJ, Collard CD, Fox JA, et al. The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 2001;92:1126–30.
    1. Mallory GK, Weiss S. Hemorrhages from lacerations of the cardiac orifice of the stomach due to vomiting. Am J Med Sci 1929;178:506–12.
    1. Practice guidelines for perioperative transesophageal echocardiography: a report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology 1996;84:986–1006.

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