Key result
Intraoperative TEE extreme anteflexion causes gastric laceration and gastrointestinal bleeding in one patient.
Why the study?
Gastrointestinal complications of TEE are rare and previously confined to the oropharynx and esophagus, with limited reports of gastric injury.
Case Report (n=1)
Intraoperative TEE during cardiac surgery can rarely cause gastric laceration and gastrointestinal bleeding, particularly when extreme anteflexion is used to obtain apical views.
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Documents rare post-TEE gastric injury; extends four prior esophageal reports but leaves open true incidence.
Latham et al. (1995) conducted a case report in Gastric laceration and gastrointestinal bleeding (n=1). Transesophageal echocardiography (TEE) was evaluated on Gastric laceration resulting in gastrointestinal bleeding. Intraoperative transesophageal echocardiography, specifically extreme anteflexion for the apical four-chamber view, resulted in a gastric laceration and gastrointestinal bleeding in one patient.
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