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Published on: November 28, 2018

Gastric bleeding detected by transesophageal echocardiography during cardiopulmonary bypass

Masaki Ito1, Shin Kagaya, Takeshi Kitoh

  • 1Department of Anesthesiology, Saitama Circulation and Respiratory Center, 1696 Itai, Kumagaya, Saitama, 360-0105, Japan. masaki1104@hotmail.com

Journal of Anesthesia
|January 7, 2010
PubMed

Insights

Gastric bleeding during cardiopulmonary bypass is rare but serious. Transesophageal echocardiography can help detect this complication during surgery, enabling prompt endoscopic treatment.

Area of Science:

  • Cardiovascular Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Gastric bleeding is a rare but severe complication during cardiopulmonary bypass (CPB).
  • Early detection is crucial for patient outcomes in cardiac surgery.

Observation:

  • A case of gastric bleeding was identified during coronary bypass grafting using transesophageal echocardiography (TEE).
  • TEE revealed a hypoechoic space within the stomach, suggesting bleeding in the presence of a fluid deficit.

Findings:

  • Gastric bleeding was successfully diagnosed using TEE during CPB.
  • Endoscopic clipping of the gastric mucosa effectively stopped the bleeding after CPB separation.

Implications:

  • TEE can be a valuable tool for diagnosing gastric bleeding during CPB.
  • This case highlights the importance of considering gastric bleeding in patients with unexplained fluid deficits during cardiac surgery.
  • Timely endoscopic intervention can resolve this life-threatening complication.

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