title: Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment.
abstract: Esophageal perforation due to transesophageal echocardiogram (TEE) during cardiac surgery is rare. A 72-year-old female underwent TEE during an operation for aortic valve replacement. Further, the patient presented hematemesis. Gastroscopy revealed an esophageal bleeding ulcer. Endoscopic therapy was successful. Although a CT scan excluded perforation, the patient became febrile, and a second gastroscopy revealed a big perforation at the site of ulcer. The patient's clinical condition required endoscopic intervention with a new OTSC(®) clip (Ovesco Endoscopy, Tübingen, Germany). The perforation was successfully sealed. The patient remained on intravenous antibiotics, proton pump inhibitors and parenteral nutrition for few days, followed by enteral feeding. She was discharged fully recovered 3 months later. We clearly demonstrate an effective, less invasive treatment of an esophageal perforation with a new endoscopic clip.
authors.affiliation: Surgical Intensive Care Unit, Onassis Cardiac Surgery Center, Kallithea, Greece.
authors.forename: John
authors.initials: J
authors.lastname: Robotis
authors.affiliation: Surgical Intensive Care Unit, Onassis Cardiac Surgery Center, Kallithea, Greece.
authors.forename: Andreas
authors.initials: A
authors.lastname: Karabinis
keywords: Endoscopic treatment; Esophageal perforation; OTSC® clip; Transesophageal echocardiogram