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Updated: Feb 1, 2026

Reduction in Left Ventricular Wall Stress and Improvement in Function in Failing Hearts using Algisyl-LVR
Published on: April 8, 2013
[Necrotizing esophagitis by stress-cardiomyopathy with right ventricular insufficiency]
J Müller-Engelmann1, M Paparoupa2, A Nierhaus3
1Klinik für Kardiologie und Intensivmedizin, Klinikum Kassel, Kassel, Deutschland.
Abstract:
Acute necrotizing esophagitis ("black esophagus") is defined as complete necrosis of the esophageal mucosa, which typically affects the entire circumference. We report a case of a healthy 62-year-old woman, who became hemodynamically unstable due to stress cardiomyopathy with acute right heart failure. Transfusion-dependent anemia occurred 24 h later and an upper gastrointestinal endoscopy revealed a black discoloured mucosa of the distal esophagus. After hemodynamic stabilization and treatment with proton pump inhibitors and sucralfate, complete healing of the esophageal mucosa was achieved.
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