Acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention
The Korean Journal of Internal Medicine
;
: 379-382, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-105930
ABSTRACT
Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown, although cardiovascular disease, hemodynamic compromise, gastric outlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection, and trauma have all been suggested as possible causes. A 67-year-old female underwent a coronary angiography (CAG) for evaluation of chest pain. CAG findings showed coronary three-vessel disease. We planned percutaneous coronary intervention (PCI). Coronary arterial dissection during the PCI led to sudden hypotension. Six hours after the index procedure, the patient experienced a large amount of hematemesis. Emergency gastrofibroscopy was performed and showed mucosal necrosis with a huge adherent blood clot in the esophagus. After conservative treatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case of acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Facteurs temps
/
Cicatrisation de plaie
/
Maladie aigüe
/
Valeur prédictive des tests
/
Facteurs de risque
/
Oesophagoscopie
/
Résultat thérapeutique
/
Coronarographie
/
Échographie interventionnelle
/
Sténose coronarienne
Type d'étude:
Etude d'étiologie
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
The Korean Journal of Internal Medicine
Année:
2014
Type:
Article
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