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Acute aortic syndromes after esophageal endoscopic submucosal dissection
Jing Pang1, Erfeng Li1, Wenbin Zhang1
1Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, 030001, China.
BMC Geriatrics
|November 29, 2025
Summary
Endoscopic Submucosal Dissection (ESD) for early esophageal cancer can rarely lead to acute aortic syndromes (AAS). This case highlights a potential, though infrequent, complication following the procedure.
Area of Science:
- Gastroenterology
- Cardiovascular Surgery
- Oncology
Background:
- Endoscopic Submucosal Dissection (ESD) is a key treatment for early esophageal cancer.
- Common complications include perforation, bleeding, and stricture.
- Evidence linking ESD to acute aortic syndromes (AAS) is scarce.
Purpose of the Study:
- To review major complications of ESD.
- To explore the potential association between esophageal ESD and AAS.
Main Methods:
- A case presentation of a 66-year-old woman with early esophageal cancer.
- The patient underwent esophageal ESD.
- Post-procedure monitoring and diagnosis of aortic intramural hematoma (IMH).
Main Results:
- The patient developed sudden chest pain seven hours post-ESD.
- Urgent CT scan revealed aortic intramural hematoma (IMH).
- The patient stabilized with supportive treatment and showed stable aortic condition at follow-up.
Conclusions:
- Acute aortic syndromes (AAS) are an exceedingly rare complication post-ESD.
- This case underscores the importance of considering AAS in patients with chest pain after esophageal ESD.
- Further research is needed to understand the ESD-AAS link.
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