Ruptured oesophageal haematoma caused by transoesophageal echocardiography

Ruptured oesophageal haematoma caused by transoesophageal echocardiography

Eur Heart J ehx356.
21 June 2017
Article history

A 78-year-old man with a history of aortic valve replacement underwent percutaneous closure of a significant paravalvular leak, under transoesophageal echocardiography guidance. On the third day post-procedure, the patient complained of dysphagia, haemoptysis, and chest pain aggravated by swallowing. Gastroscopy, as well as a contrast radiography, showed complete oesophageal obstruction at 25 cm from the teeth. (Panels A and B) Subsequent computed tomography (CT) revealed a large haematoma of the oesophageal wall obstructing the lumen of the oesophagus, compressing the left atrium and left pulmonary veins. (Panel C, red arrow) Because of a stable clinical status and active anticoagulation, surgical intervention was withheld. However, on the next day, the patient’s condition worsened gradually. On physical examination, a notable apex beat aggravation and displacement was observed…

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connie dello buono

Health educator, author and enterpreneur or ; cell 408-854-1883 Helping families in the bay area by providing compassionate and live-in caregivers for homebound bay area seniors. Blogs at Currently writing a self help and self cure ebook to help transform others in their journey to wellness, Healing within, transform inside and out. This is a compilation of topics Connie answered at and posts in this site.

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