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Eur J Cardiothorac Surg 2006;30:555
© 2006 Elsevier Science NL

Images in cardio-thoracic surgery

Successful esophageal repair in patient with Boerhaave's syndrome

Luca Ampollini*, Antonio Bobbio, Paolo Carbognani, Michele Rusca

Thoracic Surgery, Department of Surgical Science, University Hospital of Parma, Parma, Italy

Received 17 May 2006; received in revised form 1 June 2006; accepted 6 June 2006.

* Corresponding author at: U.O. Chirurgia Toracica, Università di Parma, Azienda Ospedaliera di Parma, Viale Gramsci 14, 43100 Parma, Italy. Tel.: +39 03498483849; fax: +39 0521703559. (Email: lucampollini{at}inwind.it).

Key Words: Boerhaave's syndrome • Esophageal perforation • Esophageal repair

An 80-year-old man presented with acute thoracic pain after vomiting. He was febrile and hypotensive. Esophageal perforation was suspected: CT-scan (Fig. 1 ) confirmed the diagnosis. By left thoracotomy, the perforation (Fig. 2 ) was repaired by direct suture and reinforced with diaphragmatic flap. The recovery was uneventful; no complications occurred after 5-month period.


Figure 1
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  		Fig. 1. Thoracic CT-scan showing a small right pleural effusion and esophageal perforation with contrast medium flowing freely into the left hemithorax.

 

Figure 2
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  		Fig. 2. Operative view of the perforation sited in lower esophagus sized 3 cm in diameter.

 




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Home page
 Eur. J. Cardiothorac. Surg.Home page
D. Giri and P. K. Sarkar
Successful esophageal repair in patients with Boerhaave's syndrome
Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 139 - 140.
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This Article
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Antonio Bobbio
Paolo Carbognani
Michele Rusca
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