Upper gastrointestinal bleeding from a Mallory-Weiss tear associated with transesophageal echocardiography during successful cardiopulmonary resuscitation: A case report

Figure 1 Perioperative echocardiography. A: Preoperative transthoracic echocardiography (TTE) showed rheumatic heart disease; B: TEE revealed that the cardiac motion ceased. The right cardiac chambers were small, the rheumatic mitral stenosis and spontaneous echo contrast indicated blood stasis in the left cardiac chambers; C: TEE assisting with the weaning of percutaneous cardiopulmonary bypass resuscitation. The accelerated mitral inflow through the stenosis and aortic valve regurgitation during diastole were shown in a four-chamber view with color Doppler. SEC: Spontaneous echo contrast; RA: Right atrium; RV: Right ventricle; LA: Left atrium; LV: Left ventricle; IVS: Interventricular septum; LVOT: Left ventricular outflow tract.

Figure 2 Mallory–Weiss tear. Esophagogastroscopy showed the Mallory–Weiss tear at the gastroesophageal junction covered with a little fresh blood and no active bleeding (white arrow).