| Spontaneous rupture of the esophagus after coronary artery bypass. | |
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MedLine Citation:
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PMID: 3502518 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a very rare but the most lethal perforation of the gastro-intestinal tract. A 62-year old male was successfully treated for this condition developing on the second post-operative day after coronary artery bypass. Two hours after extubation respiratory insufficiency and circulatory collapse necessitated reintubation and energetic resuscitation with prompt drainage of a massive pleural effusion. Left thoracotomy on post-operative day 17 confirmed the diagnosis and the esophagus was excluded by cervical esophagostomy and duodenostomy. After a six week recovery, reconstruction was achieved by total esophagectomy through a right thoracic incision and gastric bypass with cervical gastro-esophageal anastomosis. The patient left the hospital in good condition 112 days after the initial operation. |
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Authors:
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G Van Nooten; J S Azagra; J L Alle; F E Deuvaert; J De Paepe; D Jacobs; A Osmani; G Primo |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 87 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 1987 Nov-Dec |
Date Detail:
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Created Date: 1988-06-30 Completed Date: 1988-06-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: BELGIUM |
Other Details:
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Languages: eng Pagination: 367-70 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Brugmann University Hospital, Brussels. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Artery Bypass Esophageal Diseases / radiography*, surgery Humans Male Middle Aged Postoperative Complications / radiography* Rupture, Spontaneous Syndrome |
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