title: Echocardiographic demonstration of intracardiac glue after endoscopic obturation of gastroesophageal varices.
abstract: Systemic embolism is an unusual complication of endoscopic obturation of gastroesophageal varices with glue. This report describes a case of cerebral embolism after this procedure. Intracardiac glue within the left atrium was demonstrated by echocardiography. Cardiac fluoroscopy demonstrated an abnormal vessel connecting periesophageal veins with the right upper pulmonary vein. Cardiac surgery was performed. Intracardiac glue was removed and the entering orifice of the abnormal vessel in the right upper pulmonary vein was sutured. To our knowledge, this is the first reported case of intracardiac glue after variceal obturation. Echocardiography is useful in the diagnosis of this rare complication.
authors.affiliation: Department of Cardiology, Victor Dupouy Hospital, Argenteuil, France.
authors.forename: B
authors.initials: B
authors.lastname: Gallet
authors.forename: G
authors.initials: G
authors.lastname: Zemour
authors.forename: J P
authors.initials: JP
authors.lastname: Saudemont
authors.forename: P
authors.initials: P
authors.lastname: Renard
authors.forename: M L
authors.initials: ML
authors.lastname: Hillion
authors.forename: M
authors.initials: M
authors.lastname: Hiltgen
mesh_terms: D000328:Adult; D004452:Echocardiography; D004659:Enbucrilate / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D004945:Esophagoscopy; D004947:Esophagus / Q000098:blood supply; D005471:Fluoroscopy; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006321:Heart; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D014014:Tissue Adhesives / Q000009:adverse effects*; D014680:Veins / Q000002:abnormalities / Q000601:surgery
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate