Echocardiographic demonstration of intracardiac glue after endoscopic obturation of gastroesophageal varices

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
B GalletM Hiltgen

Abstract

Systemic embolism is an unusual complication of endoscopic obturation of gastroesophageal varices with glue. This report describes a case of cerebral embolism after this procedure. Intracardiac glue within the left atrium was demonstrated by echocardiography. Cardiac fluoroscopy demonstrated an abnormal vessel connecting periesophageal veins with the right upper pulmonary vein. Cardiac surgery was performed. Intracardiac glue was removed and the entering orifice of the abnormal vessel in the right upper pulmonary vein was sutured. To our knowledge, this is the first reported case of intracardiac glue after variceal obturation. Echocardiography is useful in the diagnosis of this rare complication.

References

Apr 1, 1982·American Journal of Surgery·S E HedbergR L Ryan

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Citations

Aug 28, 2004·Gastrointestinal Endoscopy·Bret PetersenUNKNOWN Technology Assessment Committee, American Society for Gastrointestinal Endoscopy
Aug 2, 2012·Journal of Gastroenterology and Hepatology·German GonzalezJacobo Kirsch
Aug 29, 2013·Digestive Diseases and Sciences·Samuel GidayKimberly Ringenberger
Jun 25, 2005·The Annals of Thoracic Surgery·Scott A LeMaireJoseph S Coselli
May 11, 2002·The American Journal of Gastroenterology·Shiv K SarinRajesh Gupta
May 28, 2005·Digestive Diseases·Erwin BieckerTilman Sauerbruch
Jan 27, 2006·World Journal of Gastroenterology : WJG·Phadet NoophunRungsun Rerknimitr

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