Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure

Abstract Although previously reported as relatively rare, esophageal hematoma can likely develop in patients on anticoagulants or those with underlying hemorrhagic disorders. From April 2018 to December 2018, among 36 patients who received transcatheter mitral valve edge‐to‐edge repair (TMVr) at our...

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Main Authors: Yasuyuki Shirai, Yoshihiro Kinoshita, Tatsuya Koumoto, Michitaka Kawano, Ayako Ogoshi, Katsunori Harada, Akihiro Isotani, Shinichi Shirai, Kenji Ando, Tomoharu Yoshida
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.75
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author Yasuyuki Shirai
Yoshihiro Kinoshita
Tatsuya Koumoto
Michitaka Kawano
Ayako Ogoshi
Katsunori Harada
Akihiro Isotani
Shinichi Shirai
Kenji Ando
Tomoharu Yoshida
author_facet Yasuyuki Shirai
Yoshihiro Kinoshita
Tatsuya Koumoto
Michitaka Kawano
Ayako Ogoshi
Katsunori Harada
Akihiro Isotani
Shinichi Shirai
Kenji Ando
Tomoharu Yoshida
author_sort Yasuyuki Shirai
collection DOAJ
description Abstract Although previously reported as relatively rare, esophageal hematoma can likely develop in patients on anticoagulants or those with underlying hemorrhagic disorders. From April 2018 to December 2018, among 36 patients who received transcatheter mitral valve edge‐to‐edge repair (TMVr) at our hospital, seven (19.4%), who were suspected of having digestive tract hemorrhage evidenced by blood stains on a probe extracted after transesophageal echocardiography, underwent esophagogastroduodenoscopy. Esophageal hematomas were noted in all patients, and endoscopic hemostasis was performed in two cases. Depending on their form, hematomas were noted on the submucosa and the epithelium of the shallow esophageal layer. Esophageal hematomas caused by transesophageal echocardiography for TMVr are not rare, and clinicians should be aware of it.
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spelling doaj.art-b5eeb7d64ae54eedb3fc91ad1d662a1e2022-12-22T02:50:03ZengWileyDEN Open2692-46092022-04-0121n/an/a10.1002/deo2.75Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedureYasuyuki Shirai0Yoshihiro Kinoshita1Tatsuya Koumoto2Michitaka Kawano3Ayako Ogoshi4Katsunori Harada5Akihiro Isotani6Shinichi Shirai7Kenji Ando8Tomoharu Yoshida9Department of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Gastroenterology Kokura Memorial Hospital Fukuoka JapanDepartment of Cardiology Kokura Memorial Hospital Fukuoka JapanDepartment of Cardiology Kokura Memorial Hospital Fukuoka JapanDepartment of Cardiology Kokura Memorial Hospital Fukuoka JapanKitakyushu Kokura Hospital Fukuoka JapanAbstract Although previously reported as relatively rare, esophageal hematoma can likely develop in patients on anticoagulants or those with underlying hemorrhagic disorders. From April 2018 to December 2018, among 36 patients who received transcatheter mitral valve edge‐to‐edge repair (TMVr) at our hospital, seven (19.4%), who were suspected of having digestive tract hemorrhage evidenced by blood stains on a probe extracted after transesophageal echocardiography, underwent esophagogastroduodenoscopy. Esophageal hematomas were noted in all patients, and endoscopic hemostasis was performed in two cases. Depending on their form, hematomas were noted on the submucosa and the epithelium of the shallow esophageal layer. Esophageal hematomas caused by transesophageal echocardiography for TMVr are not rare, and clinicians should be aware of it.https://doi.org/10.1002/deo2.75esophageal mucosaesophagogastroduodenoscopyhematomamitral valve insufficiencytransesophageal echocardiography
spellingShingle Yasuyuki Shirai
Yoshihiro Kinoshita
Tatsuya Koumoto
Michitaka Kawano
Ayako Ogoshi
Katsunori Harada
Akihiro Isotani
Shinichi Shirai
Kenji Ando
Tomoharu Yoshida
Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
DEN Open
esophageal mucosa
esophagogastroduodenoscopy
hematoma
mitral valve insufficiency
transesophageal echocardiography
title Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
title_full Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
title_fullStr Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
title_full_unstemmed Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
title_short Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge‐to‐edge repair procedure
title_sort multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge to edge repair procedure
topic esophageal mucosa
esophagogastroduodenoscopy
hematoma
mitral valve insufficiency
transesophageal echocardiography
url https://doi.org/10.1002/deo2.75
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