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British Journal of Anaesthesia, 2002, Vol. 88, No. 4 595-597
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Late oesophageal perforation after intraoperative transoesophageal echocardiography

M. P. Zalunardo*,1, D. Bimmler2, U. C. Grob1, R. Stocker3, T. Pasch1 and D. R. Spahn1

1Institute of Anaesthesiology, 2Department of Surgery, 3Surgical Intensive Care, University Hospital Zürich, Rämistrasse 100, CH-8091 Zürich, Switzerland*Corresponding author

Serious haemodynamic instability occurred during emergency surgery for a perforated duodenal ulcer in a 72-year-old man with acute myocardial infarction. Intraoperative transoesophageal echocardiography was crucial for diagnosis of the location of myocardial infarction in the right ventricle and the subsequent haemodynamic management. Postoperatively, a thrombus in the right coronary artery was removed by coronary angiography. The patient’s trachea was extubated on the fourth postoperative day. Another 4 days later a leak in the lower oesophagus was suspected because of pleural empyema, and verified. The patient’s trachea had to be re-intubated and an oesophageal stent was inserted. The patient was discharged, fully recovered, 2 months after the operation.

Br J Anaesth 2002: 88: 595–7


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