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Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve

Yasuyuki Shirai1, Yoshihiro Kinoshita1, Tatsuya Koumoto1

  • 1Department of Gastroenterology Kokura Memorial Hospital Fukuoka Japan.

DEN Open
|March 21, 2022
PubMed

Although previously reported as relatively rare, esophageal hematoma can likely develop in patients on anticoagulants or those with underlying hemorrhagic disorders. From April 2018 to December 2018, among 36 patients who received transcatheter mitral valve edge-to-edge repair (TMVr) at our hospital, seven (19.4%), who were suspected of having digestive tract hemorrhage evidenced by blood stains on a probe extracted after transesophageal echocardiography, underwent esophagogastroduodenoscopy. Esophageal hematomas were noted in all patients, and endoscopic hemostasis was performed in two cases. Depending on their form, hematomas were noted on the submucosa and the epithelium of the shallow esophageal layer. Esophageal hematomas caused by transesophageal echocardiography for TMVr are not rare, and clinicians should be aware of it.

Keywords:
esophageal mucosaesophagogastroduodenoscopyhematomamitral valve insufficiencytransesophageal echocardiography

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