A case report: black oesophagus as a possible complication of transcatheter aortic valve implantation. Issue 2 (3rd June 2019)

• Record Type: Journal Article
• Authors: Gonçalves, Inês S; Bordalo e Sá, Armando L; Fatela, Narcisa; Canas da Silva, Pedro
• Editors: Tan, Timothy C; Miglioranza, Marcelo Haertel; Aboumarie, Hatem Soliman; Nistri, Stefano; Akhtar, Mohammed Majid; Patel, Peysh A
• Is Part Of: European heart journal. Volume 3:Issue 2(2019)
• Publication Date: 2019-06-03
• Subjects: Case report -- Transcatheter aortic valve implantation -- Acute necrotizing oesophagitis -- Black oesophagus; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytz069
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: The increasing number of transcatheter aortic valve implantation (TAVI) in the last few years has unveiled a unique set of events and complications that need prompt recognition and management in order to improve patient outcomes, often involving a multidisciplinary team. Case summary: We present a case of a 86-year-old woman with symptomatic severe aortic stenosis that underwent a TAVI and, in the post-procedure period, presented with acute abundant haematemesis, haemodynamic instability, and haemoglobin drop. The diagnosis of acute necrotizing oesophagitis (ANE) was made by upper gastrointestinal endoscopy. Discussion: Acute necrotizing oesophagitis is a rare entity caused usually by an ischaemic insult in the presence of predisposing factors; it has a high rate of complications and mortality. To the best of our knowledge, this is the first clinical case report to describe the occurrence of ANE as a possible complication of TAVI and is also an example of the importance of the multidisciplinary approach of these complex patients, which extends even beyond the concept of Heart Team.