title: Esophageal perforation associated with fontan operation: a complication of transesophageal echocardiography.
abstract: A 10-year-old girl with unbalanced atrioventricular septal defect and aortic arch interruption with interrupted inferior vena cava and dextrocardia had undergone a modified Norwood procedure followed by a Kawashima operation in 2002 and 2005, respectively. In 2012, she underwent Fontan operation with diversion of hepatic veins to left pulmonary artery. Intraoperative transesophageal echocardiography (TEE) was used. She was noted to have an esophageal perforation, diagnosed on the 10th postoperative day. She was managed with thoracic drainage, cervical esophagostomy, and feeding jejunostomy. Esophageal perforation is a rare complication of TEE and requires very aggressive treatment.
authors: Pediatric Cardiac Surgery, Queensland Pediatric Cardiac Service, Mater Children's Hospital, South Brisbane, Australia.
authors: Gaurav
authors: G
authors: Kumar
authors: Sylvio
authors: S
authors: Provenzano
authors: Nelson
authors: N
authors: Alphonso
authors: Tom R
authors: TR
authors: Karl
mesh_terms: D002648:Child; D017548:Echocardiography, Transesophageal; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects*; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans
keywords: Fontan; TEE; complication; esophageal perforation