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When gastroenterology and cardiology intersect: An unexpected esophageal complication of a common cardiovascular condition
When gastroenterology and cardiology intersect: An unexpected esophageal complication of a common cardiovascular condition
Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Figueiredo
Serviço de Gastrenterologia, Centro Hospitalar e Universitário de Coimbra; Faculdade de Medicina, Universidade de Coimbra
A 56-year-old man was admitted by acute ST-elevation myocardial infarction with reversed long cardiorespiratory arrest(CRA), submitted to rescue percutaneous coronary intervention. During coronariography, a longitudinal radiopaque image was found in the middle thorax. Suspecting of esophageal foreign body, an endoscopy was performed after patient stabilization showing a metallic dental prosthesis with five teeth at 25cm from the incisors that was gentle displaced into the stomach. A circumferential and extensive scaling of distal two thirds of esophageal mucosa was observed. A safe removal was possible using a diathermic snare auxiliary by capuchon hood® to protect ischemic esophageal mucosa secondary to CRA.
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