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Ann Thorac Surg 2007;83:317-319
© 2007 The Society of Thoracic Surgeons

Case Reports

Minimally Invasive Management of Boerhaave’s Syndrome

Ahmad S. Ashrafi, MD, Omar Awais, DO, Miguel Alvelo-Rivera, MD*

The Heart Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Accepted for publication May 24, 2006.

* Address correspondence to Dr Alvelo-Rivera, The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, 200 Lothrop St, C-800, Pittsburgh, PA 15213 (Email: alveloriveram{at}upmc.edu).

We report the case of a 42-year-old man with Boerhaave’s syndrome. His medical history was significant only for a long-standing history of dysphagia. The patient presented to the emergency department with vomiting, followed by severe retrosternal and epigastric pain of sudden onset. An esophagogram showed evidence of free extravasation of contrast from the left posterolateral aspect of the distal esophagus just above the level of the hiatus. A minimally invasive technique was used to repair this injury.






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