Acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown,although cardiovascular disease, hemodynamic compromise, gastricoutlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection,and trauma have all been suggested as possible causes. A 67-year-old femaleunderwent a coronary angiography (CAG) for evaluation of chest pain. CAG findingsshowed coronary three-vessel disease. We planned percutaneous coronaryintervention (PCI). Coronary arterial dissection during the PCI led to suddenhypotension. Six hours after the index procedure, the patient experienced a largeamount of hematemesis. Emergency gastrofibroscopy was performed and showedmucosal necrosis with a huge adherent blood clot in the esophagus. After conservativetreatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case ofacute esophageal necrosis occurring in a patient undergoing percutaneous coronaryintervention.
Abstract
Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown,although cardiovascular disease, hemodynamic compromise, gastricoutlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection,and trauma have all been suggested as possible causes. A 67-year-old femaleunderwent a coronary angiography (CAG) for evaluation of chest pain. CAG findingsshowed coronary three-vessel disease. We planned percutaneous coronaryintervention (PCI). Coronary arterial dissection during the PCI led to suddenhypotension. Six hours after the index procedure, the patient experienced a largeamount of hematemesis. Emergency gastrofibroscopy was performed and showedmucosal necrosis with a huge adherent blood clot in the esophagus. After conservativetreatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case ofacute esophageal necrosis occurring in a patient undergoing percutaneous coronaryintervention.
참고문헌 (9)
- Lacy BE, "Acute esophageal necrosis: report of two cases and a review of the literature", Gastrointest Endosc, 49, pp.527~532 (1999)
- Goldenberg SP, "Acute necrotizing esophagitis", Gastroenterology, 98, pp.493~496 (1990)
- Grudell AB, "Black esophagus:report of six cases and review of the literature, 1963-2003", Dis Esophagus, 19, pp.105~110 (2006)
- Moreto M, "Idiopathic acute esophageal necrosis: not necessarily a terminal event", Endoscopy, 25, pp.534~538 (1993)
- Gurvits GE, "Acute esophageal necrosis: a rare syndrome", J Gastroenterol, 42, pp.29~38 (2007)
- Neumann DA 2nd, "Proximal black esophagus: a case report and review of the literature", Gastrointest Endosc, 70, pp.180~181 (2009)
- Gurvits GE, "Black esophagus: acute esophageal necrosis syndrome", World J Gastroenterol, 16, pp.3219~3225 (2010)
- Watanabe S, "Esophageal necrosis and bleeding gastric ulcer secondary to ruptured thoracic aortic aneurysm", Gastrointest Endosc, 50, pp.847~849 (1999)
- 임상엽, "진단적 관상동맥 조영술 도중에 발생한나선형 관상동맥 박리증 1예", 대한내과학회지, 65(3), pp.361~364 (2003), 대한내과학회