Copyright © 2005, The European Society of Cardiology
Fatal ventricular arrhythmia as a complication of transesophageal echocardiography
aHeart Institute, Kaplan Medical Center, Rehovot 76100, Israel
bDepartment of Internal Medicine Center, Kaplan Medical Center, Rehovot 76100, Israel
Received 21 July 2004; accepted after revision 18 August 2004.
* Corresponding author. Tel.: +972 8 9441371; fax: +972 8 9441852. stevash{at}trendline.co.il
| Abstract |
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Aim To report a case of serious ventricular arrhythmia during transesophageal echocardiography. Methods and results: A 58-year-old women with previous mitral and tricuspid valve replacement and permanent pacemaker implantation suffered from recurrent fever and Staphylococcus aureus bacteremia. Transesophageal echocardiography was performed as part of the assessment for infective endocarditis. During this procedure the patient developed sustained ventricular tachycardia and subsequently ventricular flutter. She was successfully resuscitated. Subsequently the procedure was undertaken under general anesthesia with no complications. Conclusion: The increasing use of TEE in a wider spectrum of patients, many of whom are seriously ill, may result in serious side-effects.
Keywords: Arrhythmias; Transesophageal echocardiography