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British Journal of Anaesthesia, Vol 82, Issue 6 948-950, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia

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Bleeding from a tear in the gastric mucosa caused by transoesophageal echocardiography during cardiac surgery: effective haemostasis by endoscopic argon plasma coagulation

S. Kihara, T. Mizutani, T. Shimizu and H. Toyooka
Department of Anaesthesiology and Department of Critical Care Medicine, University of Tsukuba, Tsukuba, Ibaraki, 305-8575, Japan

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.
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