CTICasesEsophageal Perforation Post-Transesophageal Echo (TEE)
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Imaging findings
Pockets of gas are observed within the esophagus, along with pneumomediastinum just outside the esophagus. Sagittal views show a linear string of gas in the mediastinum following the contour of the esophagus.
Key takeaways
This case demonstrates an esophageal perforation following a transesophageal echocardiogram (TEE), performed for TAVR sizing. The patient developed chest and neck pain post-procedure. Although subsequent swallow studies did not show a leak, the patient was managed conservatively with NPO status and recovered well. It's a rare but significant complication of TEE.
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