title: Oesophageal perforation in a neonate during transoesophageal echocardiography for cardiac surgery.
abstract: Oesophageal perforation is a rarely reported complication of transoesophageal echocardiography in infants. This case involves a 3.1-kg neonate with Trisomy 21, atrioventricular septal defect, and hypoplastic aortic arch undergoing aortic arch advancement and pulmonary artery banding. A paediatric transoesophageal echocardiography probe was placed intraoperatively causing a contained false passage from the oesophagus below the cricopharyngeus muscle with extension into the left posterior mediastinum. The perforation healed within 2 weeks without permanent sequelae after conservative medical management.
authors.affiliation: 1Department of Anesthesiology,Cincinnati Children's Hospital,Cincinnati,OhioUnited States of America.
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Miller
authors.affiliation: 2Department of Otolaryngology,Cincinnati Children's Hospital,Cincinnati,OhioUnited States of America.
authors.forename: Catherine K
authors.initials: CK
authors.lastname: Hart
authors.affiliation: 3Department of Cardiology,Cincinnati Children's Hospital,Cincinnati,Ohio,United States of America.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Statile
mesh_terms: D000015:Abnormalities, Multiple; D006348:Cardiac Surgical Procedures; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D004939:Esophageal Perforation / Q000209:etiology*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn
keywords: Transoesophageal echocardiography; neonatal cardiac surgery; oesophageal perforation