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Chest Pain Post-Transcatheter Aortic Valve Implantation: Don't Forget the Uncommon Complication
Umar Ismail1, Manish Motwani2, Douglas G W Fraser2
1Section of Cardiology, Department of Internal Medicine, St Boniface Hospital, Winnipeg, Manitoba, Canada.
JACC. Case Reports
|May 2, 2022
Summary
Transesophageal echocardiography is crucial for structural heart interventions in frail patients. Physicians must remain aware of rare but serious risks like esophageal perforation during this procedure.
Area of Science:
- Cardiology
- Medical Imaging
- Interventional Procedures
Background:
- Transesophageal echocardiography (TEE) is a key imaging modality for structural heart disease interventions.
- It is particularly valuable in elderly and frail patients unsuitable for traditional surgery.
Purpose of the Study:
- To highlight the utility of TEE in structural heart interventions.
- To inform physicians about the potential for esophageal trauma, including perforation, as a rare complication of TEE.
Main Methods:
- This abstract discusses the application and potential complications of transesophageal echocardiography.
- It is based on clinical experience and existing knowledge regarding the procedure.
Main Results:
- Transesophageal echocardiography effectively guides interventions for structural heart disease.
- Esophageal trauma, such as perforation, is a rare but significant complication associated with TEE.
Conclusions:
- Transesophageal echocardiography is an indispensable tool for structural heart interventions, especially in high-risk patient populations.
- Awareness and vigilance regarding esophageal perforation are essential for physicians performing TEE.
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