English
TitleA Gastric Perforation after Transesophageal Echocardiography in an Elderly Patient Undergoing Cardiac Surgery
Subtitle
AuthorsSayaka Osawa*, Ken Yamaura*, Kozaburo Akiyoshi*, Tetsuya Kai**, Yoshiro Sakaguchi***, Eiichiro Noda***, Sumio Hoka*
Authors(kana)
Organization*Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, **Operating Rooms, Kyushu University Hospital, ***Emergency and Critical Care Center, Kyushu University Hospital
JournalCirculation Control
Volume31
Number3
Page193-195
Year/Month2010/12
ArticleReport
PublisherJapan Society of Circulation Control in Medicine
AbstractuAbstractvAn 80-year-old male patient (160 cm, 52 kg) underwent a combined coronary artery bypass graft and aortic valve replacement. He had no history of gastric or esophageal disease. Transesophageal echocardiography (TEE) was used for an intraoperative monitor. At the end of surgery, massive fresh blood was aspirated through a gastric tube after removal of the TEE probe. An urgent esophago-gastroduodenoscopy and computed tomography diagnosed a gastric perforation, for which the patient had to undergo an urgent laparoscopic repair. The surgical repair was successful and the patient was discharged on the postoperative day 21. uIntroductionvTransesophageal echocardiography (TEE) is an important diagnostic and monitoring tool in cardiac anesthesia. Although TEE is considered to be safe with a very low rate of serious complications1`4), recent reports show a relatively high rate of TEE-related upper gastrointestinal (GI) complications5). We present a gastric perforation after intraoperative TEE in an elderly patient who underwent coronary artery bypass grafting simultaneously with aortic valve replacement.
PracticeBasic medicine
Keywordsanesthesia, transesophageal echocardiography, complication, gastric perforation

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