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Oesophageal perforation in a neonate during transoesophageal echocardiography for cardiac surgery

Published online by Cambridge University Press:  09 September 2014

Jeffrey W. Miller ,
Catherine K. Hart  and
Christopher J. Statile
Jeffrey W. Miller*
Affiliation:
Department of Anesthesiology, Cincinnati Children’s Hospital, Cincinnati, OhioUnited States of America
Catherine K. Hart
Affiliation:
Department of Otolaryngology, Cincinnati Children’s Hospital, Cincinnati, OhioUnited States of America
Christopher J. Statile
Affiliation:
Department of Cardiology, Cincinnati Children’s Hospital, Cincinnati, Ohio, United States of America
*
Correspondence to: J. W. Miller, Department of Anesthesiology, Division of Cardiac Anesthesia, Cincinnati Children’s Hospital, 3333 Burnet Avenue, Cincinnati, Ohio 45229, United States of America. Tel: 513 636 9234; Fax: 513 636 7337; E-mail: Jeff.Miller@cchmc.org
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Abstract

Oesophageal perforation is a rarely reported complication of transoesophageal echocardiography in infants. This case involves a 3.1-kg neonate with Trisomy 21, atrioventricular septal defect, and hypoplastic aortic arch undergoing aortic arch advancement and pulmonary artery banding. A paediatric transoesophageal echocardiography probe was placed intraoperatively causing a contained false passage from the oesophagus below the cricopharyngeus muscle with extension into the left posterior mediastinum. The perforation healed within 2 weeks without permanent sequelae after conservative medical management.

Keywords

Transoesophageal echocardiographyoesophageal perforationneonatal cardiac surgery
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 5 , June 2015 , pp. 1015 - 1018
Copyright
© Cambridge University Press 2014 

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References

1. Stevenson, JG. Incidence of complications in pediatric transesophageal echocardiography: experience in 1650 cases. J Am Soc Echocardiogr 1999; 12: 527–532.CrossRefGoogle ScholarPubMed
2. Hilberath, JN, Oakes, DA, Shernan, SK, Bulwer, BE, D’Ambra, MN, Eltzschig, HK. Safety of transesophageal echocardiography. J Am Soc Echocardiogr 2010; 23: 1115–1127; quiz 1220-1221.CrossRefGoogle ScholarPubMed
3. Philips_Healthcare. TEE Transducer Care, 2012. Retrieved March 2014, from http://www.philips.com/ultrasound Google Scholar
4. Knight, RB, Webb, DE, Coppola, PC. Pharyngeal perforation masquerading as esophageal atresia. J Pediatr Surg 2009; 44: 2216–2218.CrossRefGoogle ScholarPubMed
5. Muhiudeen-Russell, IA, Miller-Hance, WC, Silverman, NH. Unrecognized esophageal perforation in a neonate during transesophageal echocardiography. J Am Soc Echocardiogr 2001; 14: 747–749.CrossRefGoogle Scholar
6. Sasaki, T, Culham, G, Gandhi, SK. Conservative management of iatrogenic esophageal perforation during neonatal cardiac surgery. World J Pediatr Congenit Heart Surg 2012; 3: 528–530.CrossRefGoogle ScholarPubMed
7. Wellen, SL, Glatz, AC, Gaynor, JW, Montenegro, LM, Cohen, MS. Transesophageal echocardiography probe insertion failure in infants undergoing cardiac surgery. Congenit Heart Dis 2013; 8: 240–245.CrossRefGoogle ScholarPubMed
8. Gander, JW, Berdon, WE, Cowles, RA. Iatrogenic esophageal perforation in children. Pediatr Surg Int 2009; 25: 395–401.CrossRefGoogle ScholarPubMed
9. Greene, MA, Alexander, JA, Knauf, DG, et al. Endoscopic evaluation of the esophagus in infants and children immediately following intraoperative use of transesophageal echocardiography. Chest 1999; 116: 1247–1250.CrossRefGoogle ScholarPubMed