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Late oesophageal perforation after intraoperative transoesophageal echocardiography


Zalunardo, M P; Bimmler, D; Grob, U C; Stocker, R; Pasch, T; Spahn, D R (2002). Late oesophageal perforation after intraoperative transoesophageal echocardiography. British Journal of Anaesthesia, 88(4):595-597.

Abstract

Serious haemodynamic instability occurred during emergency surgery for a perforated duodenal ulcer in a 72-year-old man with acute myocardial infarction. Intraoperative transoesophageal echocardiography was crucial for diagnosis of the location of myocardial infarction in the right ventricle and the subsequent haemodynamic management. Postoperatively, a thrombus in the right coronary artery was removed by coronary angiography. The patient's trachea was extubated on the fourth postoperative day. Another 4 days later a leak in the lower oesophagus was suspected because of pleural empyema, and verified. The patient's trachea had to be re-intubated and an oesophageal stent was inserted. The patient was discharged, fully recovered, 2 months after the operation.

Abstract

Serious haemodynamic instability occurred during emergency surgery for a perforated duodenal ulcer in a 72-year-old man with acute myocardial infarction. Intraoperative transoesophageal echocardiography was crucial for diagnosis of the location of myocardial infarction in the right ventricle and the subsequent haemodynamic management. Postoperatively, a thrombus in the right coronary artery was removed by coronary angiography. The patient's trachea was extubated on the fourth postoperative day. Another 4 days later a leak in the lower oesophagus was suspected because of pleural empyema, and verified. The patient's trachea had to be re-intubated and an oesophageal stent was inserted. The patient was discharged, fully recovered, 2 months after the operation.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Division of Surgical Intensive Care Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2002
Deposited On:16 Sep 2009 06:29
Last Modified:05 Apr 2016 13:18
Publisher:Oxford University Press
ISSN:0007-0912
Additional Information:Copyright © 2009 the British Journal of Anaesthesia: free fulltext on http://bja.oxfordjournals.org/
Publisher DOI:https://doi.org/10.1093/bja/88.4.595
Official URL:http://bja.oxfordjournals.org/
PubMed ID:12066742

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