title: Distal oesophageal stricture after transoesophageal echocardiography in a cardiac surgical patient.
abstract: Transoesophageal echocardiography (TEE) is an important tool for diagnosis and monitoring during anaesthesia in cardiac operation. TEE is generally considered a safe and minimally invasive technique. However, adverse events may occur during probe insertion or manipulation. We report a case of delayed distal oesophageal stricture with an associated scarring probably due to TEE during a cardiac operation. The patient, a 75-year-old female, underwent coronary artery bypass graft, mitral valve replacement, and tricuspid valve annuloplasty. Seven days after surgery, the patient complained of dysphagia without haemoptysis and drop of haematocrit. At 24 days after surgery, severe stricture of distal oesophagus with scarring was observed by oesophagography and stent insertion was done.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University, Goyang, South Korea.
authors.forename: Ji Yeon
authors.initials: JY
authors.lastname: Kim
authors.forename: Choon Hak
authors.initials: CH
authors.lastname: Lim
authors.forename: Won Hyuk
authors.initials: WH
authors.lastname: Go
authors.forename: Ki Hwa
authors.initials: KH
authors.lastname: Lee
authors.forename: Jung Won
authors.initials: JW
authors.lastname: Kim
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D015607:Stents