Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2022; 10(9): 2954-2960
Published online Mar 26, 2022. doi: 10.12998/wjcc.v10.i9.2954
Upper gastrointestinal bleeding from a Mallory-Weiss tear associated with transesophageal echocardiography during successful cardiopulmonary resuscitation: A case report
Miao-Miao Tang, Deng-Feng Fang, Bin Liu
Miao-Miao Tang, Deng-Feng Fang, Bin Liu, Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Tang MM was the anesthesia fellow who was in charge of the patient’s transesophageal echocardiography, reviewed the literature and contributed to manuscript drafting; Fang DF was the patient’s attending anesthesiologist, led the patient's rescue process and contributed to manuscript drafting; Liu B was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bin Liu, MD, PhD, Chief Doctor, Department of Anesthesiology, West China Hospital, Sichuan University, No. 37 Guoxuexiang, Chengdu 610041, Sichuan Province, China. liubinhxyy@163.com
Received: November 9, 2021
Peer-review started: November 9, 2021
First decision: December 27, 2021
Revised: January 5, 2022
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 26, 2022
Processing time: 132 Days and 21.7 Hours
Core Tip

Core Tip: In recent years, transesophageal echocardiography (TEE) has been recognized as a valuable imaging tool to provide diagnostic and prognostic information for both cardiopulmonary resuscitation (CPR) cases and non-CPR cases. Although it is generally considered safe, some serious complications, including esophageal perforation and mucosal damage, have been observed in non-CPR cases. To our knowledge, there is no literature on the safety of TEE during CPR. We here report the first case of upper gastrointestinal bleeding from a Mallory-Weiss tear associated with TEE during successful CPR and percutaneous cardiopulmonary bypass resuscitation.