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- Title
Extrinsic Esophageal Compression by Cervical Osteophytes in Diffuse Idiopathic Skeletal Hyperostosis: A Contraindication to Transesophageal Echocardiography?
- Authors
Chang, Kevin; Barghash, Maya; Donnino, Robert; Freedberg, Robin S.; Hagiwara, Mari; Bennett, Genevieve; Benenstein, Ricardo; Saric, Muhamed
- Abstract
Contraindications to transesophageal echocardiography ( TEE) include various esophageal pathologies, but compression of the esophagus by vertebral osteophytes is not listed in the current American Society of Echocardiography guidelines. We report a case of diffuse idiopathic skeletal hyperostosis ( DISH) in an 81-year-old man who had incidentally been found to have extrinsic esophageal compression by cervical osteophytes prior to a proposed TEE. The incidence of esophageal perforation in patients with DISH and vertebral osteophytes is not well documented. We believe these patients are at increased risk of esophageal perforation during TEE, and thus, TEE may be relatively contraindicated in patients with DISH.
- Subjects
COMPUTED tomography; EXOSTOSIS; SPINAL osteophytosis; TRANSESOPHAGEAL echocardiography; METHICILLIN-resistant staphylococcus aureus
- Publication
Echocardiography, 2016, Vol 33, Issue 2, p314
- ISSN
0742-2822
- Publication type
Article
- DOI
10.1111/echo.13115