Jornal de relatos de casos clínicos

Esophageal Perforation in a Patient with Right Aortic Arch and Permanent Pacemaker

Abstract

Huining Liu, Guang Yang, Peng Qie and Lijun Liu

We here report a case of esophageal perforation at the first esophageal stenosis in a 73-year-old patient with right aortic arch and permanent pacemaker. Although treated with fasting, gastrointestinal decompression, antiinflammation and fluid replacement etc., the symptom is not improved. So, surgery is taken to clean the mediastinum abscess and used mediastinal drainage under the thoracoscope. The patient was discharged on postoperative day 30. Multiple factors restrict the treatment plan of this disease. The most important points are early diagnosis, applicable operation scheme and efficient chest drainage.