ASGE DDW Videos from Around the World | 2022-PAN-ESOPHAGEAL SUBMUCOSAL DISSECTION FOLLOWING TRANSESOPHAGEAL ECHOCARDIOGRAPHY

PAN-ESOPHAGEAL SUBMUCOSAL DISSECTION FOLLOWING TRANSESOPHAGEAL ECHOCARDIOGRAPHY

Video Transcription

Video Summary

In the video, it is discussed that esophageal injuries following transesophageal echocardiography are rare, with perforation being reported in 0.03% of cases. A 73-year-old female underwent a mitral valve repair and left atrial appendage closure, during which she experienced upper gastrointestinal bleeding. After being transferred to the intensive care unit, an upper endoscopy was performed, revealing a bleeding site at the cardia. It was determined that the patient had a submucosal dissection caused by the transesophageal echocardiography probe, which resulted in a clinical bleed. The patient was successfully treated using endoscopic closure with a CLEP placement. The video concludes by stating that submucosal dissection is a rare complication, and mucosal flap closure can be safely achieved using endoscopic CLEP placement. No credits were mentioned in the transcript.

Keywords

esophageal injuries

transesophageal echocardiography

perforation

upper gastrointestinal bleeding

submucosal dissection