Asymptomatic esophageal perforation discovered after elective cardiac surgery: the importance of clinical awareness.

J Cardiothorac Surg

Department of Cardiothoracic Surgery, RadboudUMC, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.

Published: February 2024

Transesophageal echocardiography (TEE) has become an indispensable part of cardiothoracic surgery at present and is considered to be a safe procedure, rarely associated with complications. However, TEE may cause serious and life threatening complications, as presented in this case report. We describe a patient who developed an empyema after elective cardiac surgery due to an esophageal perforation caused by TEE, without any clinical symptoms. Risk factors for TEE-related complications, identified in recent literature, will be discussed as well as the remarkable absence of clinical symptoms in this particular patient.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837856PMC
http://dx.doi.org/10.1186/s13019-024-02551-yDOI Listing

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