Esophageal Hematoma Following Transcatheter Edge-to-Edge Repair of the Mitral Valve: A Rare Complication of Transesophageal Echocardiography.

Authors

Ahmed Aref, Corewell Health East Resident
Judy Sheffeh
Mohammad Ali Sheffeh
Nishant Aggarwal, Corewell Health East Fellow
Fady Banno, Corewell Health East Fellow
Mohammed Alkhero, Corewell Health East Fellow
Ketan Rana, Corewell Health East

Document Type

Article

Publication Date

9-8-2025

Publication Title

ACG case reports journal

Abstract

Transesophageal echocardiography is commonly used to guide structural cardiac interventions but carries a risk of esophageal injury. We present a 79-year-old woman who underwent a Transcatheter Edge-to-Edge Repair of the mitral valve and developed an esophageal hematoma. Clinical course was complicated by intractable gastrointestinal bleeding and sepsis due to acute cholecystitis. She did not survive despite aggressive measures. Our case demonstrates the potential severity of transesophageal echocardiography-related complications, especially in patients with predisposing factors such as esophageal diverticula and anticoagulation use.

Volume

12

Issue

9

First Page

e01822

Recommended Citation

Aref A, Sheffeh J, Sheffeh MA, Aggarwal N, Banno F, Alkhero M et al [Rana K] Esophageal hematoma following transcatheter edge-to-edge repair of the mitral valve: a rare complication of transesophageal echocardiography. ACG Case Rep J. 2025 Sep 8;12(9):e01822. doi: 10.14309/crj.0000000000001822. PMID: 40933198

DOI

10.14309/crj.0000000000001822

ISSN

2326-3253

PubMed ID

40933198