Hypopharyngeal perforation caused by intraoperative transesophageal echocardiography

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• 作者：Shigeru Toyoda (1)
  Shu Inami (1)
  Taito Masawa (1)
  Ikuko Shibasaki (2)
  Yasuyuki Yamada (2)
  Hirotsugu Fukuda (2)
  Tsukasa Kubo (3)
  Masanobu Nakajima (3)
  Hiroyuki Kato (3)
  Teruo Inoue (1)
  
  1. Department of Cardiovascular Medicine ; Dokkyo Medical University ; 880 Kitakobayashi ; Mibu ; Tochigi ; 321-0293 ; Japan
  2. Department of Cardiac and Vascular Surgery ; Dokkyo Medical University ; Mibu ; Tochigi ; Japan
  3. Department of Surgery I ; Dokkyo Medical University ; Mibu ; Tochigi ; Japan
  
• 关键词：Hypopharyngeal perforation ; Intraoperative transesophageal echocardiography ; Anesthesia complication
• 刊名：Journal of Medical Ultrasonics
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：42
• 期：2
• 页码：247-250
• 全文大小：669 KB
• 参考文献：1. Brinkman, WT, Shanewise, JS, Clements, SD (2001) Transesophageal echocardiography: not an innocuous procedure. Ann Thorac Surg 72: pp. 1725-1726 CrossRef
  2. Savage, RM, Lytle, BW, Aronson, S (1997) Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. Ann Thorac Surg 64: pp. 368-373 CrossRef
  3. Mishra, M, Chauhan, R, Sharma, KK (1998) Real-time intraoperative transesophageal echocardiography: how useful? Experience of 5,016 cases. J Cardiothorac Vasc Anesth 12: pp. 625-632 CrossRef
  4. Daniel, WG, Erbel, R, Kasper, W (1991) Safety of transesophageal echocardiography. A Multicenter Survey of 10.419 Examinations. Circulation 83: pp. 817-821 CrossRef
  5. Kallmeyer, IJ, Collard, CD, Fox, JA (2001) The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 92: pp. 1126-1130 CrossRef
  6. Sainathan, S, Andaz, S (2013) A systematic review of transesophageal echocardiography-induced esophageal perforation. Echocardiography. 30: pp. 977-983 CrossRef
  7. Na, S, Kim, CS, Kim, JY (2009) Rigid laryngoscope-assisted insertion of transesophageal echocardiography probe reduces oropharyngeal mucosal injury in anesthetized patients. Anesthesiology 110: pp. 38-40 CrossRef
  8. Min, JK, Spencer, KT, Furlong, KT (2005) Clinical features of complications from transesophageal echocardiography: a single-center case series of 10,000 consecutive examinations. J Am Soc Echocardiogr 18: pp. 925-929 CrossRef
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

Intraoperative transesophageal echocardiography (TEE) is an invaluable tool for cardiac surgical decision-making. TEE is considered reasonably noninvasive and safe, but insertion and manipulation of the TEE probe can lead to complications. Here, we report a patient with aortic stenosis who experienced TEE-associated hypopharyngeal perforation at the pyriform sinus complicated by esophageal trauma, pneumomediastinum and pneumoretroperitoneum. Based on this case, we suggest that rare complications be kept in mind when using TEE intraoperatively.