Acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention.
10.3904/kjim.2014.29.3.379
- Author:
Hyung Jin KWON
1
;
Sang Ho PARK
;
Ji Hoon AHN
;
Tae Hoon LEE
;
Chang Kyun LEE
Author Information
1. Department of Family Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
- Publication Type:Case Reports ; Review
- Keywords:
Esophagus;
Cardiovascular diseases;
Necrosis;
Shock;
Coronary artery diseases
- MeSH:
Acute Disease;
Aged;
Coronary Angiography;
Coronary Stenosis/diagnosis/physiopathology/*therapy;
Esophageal Diseases/diagnosis/drug therapy/*etiology;
Esophagoscopy;
Esophagus/drug effects/*pathology;
Female;
Hemodynamics;
Humans;
Necrosis;
Percutaneous Coronary Intervention/*adverse effects;
Predictive Value of Tests;
Proton Pump Inhibitors/therapeutic use;
Risk Factors;
Time Factors;
Treatment Outcome;
Ultrasonography, Interventional;
Wound Healing
- From:The Korean Journal of Internal Medicine
2014;29(3):379-382
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown, although cardiovascular disease, hemodynamic compromise, gastric outlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection, and trauma have all been suggested as possible causes. A 67-year-old female underwent a coronary angiography (CAG) for evaluation of chest pain. CAG findings showed coronary three-vessel disease. We planned percutaneous coronary intervention (PCI). Coronary arterial dissection during the PCI led to sudden hypotension. Six hours after the index procedure, the patient experienced a large amount of hematemesis. Emergency gastrofibroscopy was performed and showed mucosal necrosis with a huge adherent blood clot in the esophagus. After conservative treatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case of acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention.
