Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Pyriform Sinus Perforation with Deep Neck Infection Caused by Transesophageal Echocardiography during Coronary Artery Bypass Grafting - A case report -

관상동맥우회술 중의 경식도 초음파에 의해 발생한 심부감염을 동반한 Pyriform Sinus 천공 - 치험 1예 -

  • Chang, Hyoung-Woo (Department of Thoracic and Cardiovascular Surgery, Seoul National Hospital) ;
  • Yoo, Jae-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National Hospital) ;
  • Hwang, Ho-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National Hospital) ;
  • Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National Hospital)
  • 장형우 (서울대학교병원 흉부외과) ;
  • 유재석 (서울대학교병원 흉부외과) ;
  • 황호영 (서울대학교병원 흉부외과) ;
  • 김기봉 (서울대학교병원 흉부외과)
  • Published : 2009.08.05
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Abstract

Transesophageal echocardiography (TEE) is widely used to evaluate the heart function and the result of surgery during a cardiac operation. The incidence of complications associated with TEE is low, yet critical complications such as lower pharyngeal injury and esophageal perforation may happen. We report hereon a case of 77-year old male patient who suffered from injury to the pyriform sinus and concurrent deep neck infection after off pump coronary artery bypass surgery and intraoperative TEE.

경식도 초음파는 심장수술에서 비교적 안전하게 수술 중 심장의 기능 및 수술 결과를 평가할 수 있어 그 이용이 일반화되고 있으며, 경식도 초음파 관련 합병증은 드물지만 하인두 손상이나 식도 천공 등 위험한 합병증이 생길 수 있다. 폐부종을 동반한 심근경색으로 진단받은 77세 남자환자에서 심폐 바이패스를 사용하 않는 관상동맥우회술 시행 후, 수술 중 경식도 초음파 시술과 관련되어 발생한 것으로 추정되는 pyriform sinus 천공 및 이에 동반된 경부 심부감염을 경험하여 보고하는 바이다.

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References

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