Related Experiment Videos
Mallory - weiss tear complicating intraoperative transesophageal echocardiography
Hiromichi Fujii1, Shigefumi Suehiro, Toshihiko Shibata
1Division of Cardiovascular Surgery, Second Department of Surgery, Osaka City University Medical School, Japan. fujiihiro@msic.med.osaka-cu.ac.jp
Abstract:
A Mallory - Weiss tear occurred as a complication of intraoperative transesophageal echocardiography carried out in a 62-year-old man who underwent coronary artery bypass grafting. Left ventricular function was monitored in the transgastric short-axis view. Postoperative esophagogastroscopy revealed a Mallory - Weiss tear at the gastroesophageal junction and erosions in the cardia, presumably secondary to contact pressure by the echoprobe and ultrasonic thermal injury. When not actively imaging, the echoprobe should be left free in the esophagus with the acoustic power off.