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Eur J Cardiothorac Surg 1999;16:686-687
© 1999 Elsevier Science NL

Letter to the Editor

Esophageal perforation after transesophageal echocardiography

^a Department of Thoracic Surgery, Pr J.F. Velly, MHL Haut-Lévèque Hospital, 33604, Pessac, France
^b Department of Anesthesiology and Intensive Care Unit, Pr G. Janvier, MHL Hôpital du Haut-Lévèque, 33604 Pessac, France

Corresponding author. Tel.: +33-5-5655-5009; fax: +33-5-5655-5021
e-mail: jacques.jougon@chu-aquitaine.fr

Key Words: Esophageal perforation • Echocardiography • Transesophageal • Adverse effects • Mediastnitis

Transesophageal echocardiography (TEE) is a very reliable method increasingly used in cardiology, cardiac surgery and intensive care because it is an accurate and non-invasive technique. TEE is nevertheless a semi-invasive method which does have some risks. Esophageal perforation is a rare but serious risk. The purpose of this paper is to emphasize on the seriousness of the affection and cautions that may be taken to avoid this complication after TEE.

Out of 87 patients treated in our department [1] for esophageal perforation between 1981 and 1998, two esophageal perforations followed transesophageal echocardiography (TEE). Indications were . . . [Full Text of this Article]

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