Three cases of esophageal bleeding after cardiovascular surgery

Three patients after cardiovascular surgery developed severe esophageal bleeding. All had been diagnosed as having an aberrant subclavian artery (ASCA). ASCA is the commonest congenital anomaly of the aortic arch, which arises from the proximal portion of the descending thoracic aorta and runs across the back side of the esophagus. The patients were intubated with a tracheal, nasogastric or ileus tube for a long time after surgery because of low output syndrome (LOS), delayed awareness, or ileus. The ASCA was compressed by the nasogastric or ileus tube in the esophagus and the patients developed an ASCA-esophageal fistula and bleeding. It should be noted that patients with an ASCA may suffer from esophageal bleeding due to the prolonged use of a nasogastric tube. Prevention is the best way to avoid this serious complication.

Medienart:

Artikel

Erscheinungsjahr:

2005

Erschienen:

2005

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Masui. The Japanese journal of anesthesiology - 54(2005), 9 vom: 01. Sept., Seite 1003-7

Sprache:

Japanisch

Beteiligte Personen:

Watanabe, Yasuhiko [VerfasserIn]
Kosaka, Makoto [VerfasserIn]

Themen:

Case Reports
English Abstract
Journal Article

Anmerkungen:

Date Completed 07.11.2005

Date Revised 15.11.2006

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM157815293