| Bedside placement of an aortic occlusion balloon to control a ruptured aorto-esophageal fistula in a small child. | |
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MedLine Citation:
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PMID: 20471216 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A child had a percutaneous endoscopic gastrostomy tube removed by transecting it at skin level. The internal portion ("the bolster") was allowed to pass in the GI tract. She subsequently had odynophagia. Magnetic resonance imaging identified a foreign body within the lower thoracic esophagus. During esophagoscopy, the bolster was removed. The following morning, she had massive hematemesis with cardiovascular collapse. As an emergent maneuver, an intra-aortic balloon was percutaneously deployed at the bedside without fluoroscopic guidance. This temporized the exsanguination. Subsequent intraoperative aortography confirmed an aortoesophageal fistula. A stent-graft was deployed with immediate hemodynamic stabilization. She later underwent esophageal resection and recovered well. |
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Authors:
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Sarah J Hill; Abdalla E Zarroug; Richard R Ricketts; Ravi Veeraswamy |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-05-13 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 24 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 822.e7-9 Citation Subset: IM |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Department of Surgery, Emory University, Atlanta, GA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Diseases
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diagnosis,
etiology,
therapy* Aortic Rupture / diagnosis, etiology, therapy* Balloon Occlusion* Blood Vessel Prosthesis Implantation / instrumentation Child Device Removal Esophageal Fistula / diagnosis, etiology, therapy* Esophagectomy Esophagoscopy Female Foreign-Body Migration / etiology, therapy* Gastrostomy / adverse effects*, instrumentation Hematemesis / etiology Humans Magnetic Resonance Imaging Shock / etiology Stents Thoracotomy Tomography, X-Ray Computed Treatment Outcome Vascular Fistula / diagnosis, etiology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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