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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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