Bleeding from a tear in the gastric mucosa caused by transoesophageal echocardiography during cardiac surgery: effective haemostasis by endoscopic argon plasma coagulation.
We present an unusual complication of transoesophageal echocardiography (TOE) during cardiac surgery. Although the patient had no oesophageal or gastrointestinal disease, a gastric mucosal tear of approximately 2 cm long occurred in the mucosa just distal to the gastrooesophageal junction caused by the TOE probe. Bleeding from the tear was stopped using endoscopic argon plasma coagulation.
Kihara
S
S
Department of Anaesthesiology, University of Tsukuba, Ibaraki, Japan.
Mizutani
T
T
Shimizu
T
T
Toyooka
H
H
D001128:Argon; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D005753:Gastric Mucosa / Q000293:injuries* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged
D001128:Argon