• Heart Lung · May 2018

    Case Reports

    Intramural atrial hematoma complicating transesophageal echocardiography during cardiac arrest.

    • Benjamin Marchandot, François Levy, Nicola Santelmo, Paul-Michel Mertes, and Olivier Morel.
    • Department of Cardiology, University Hospitals of Strasbourg, Nouvel Hôpital Civil, Strasbourg, France. Electronic address: benjamin.marchandot@chru-strasbourg.fr.
    • Heart Lung. 2018 May 1; 47 (3): 248-249.

    BackgroundAdequate strategies using either transthoracic (TTE) or transesophageal (TEE) echocardiography in patients receiving cardiopulmonary resuscitation (CPR) is an ongoing area of research.ObjectivesAs transthoracic point-of-care ultrasound (POCUS) during cardiac arrest resuscitation might result in an increased duration of interruptions in the delivery of chest compressions; the use of TEE has been proposed as an alternative.MethodsNo technical complications of either TTE nor TEE are so far being reported in the literature.ResultsWe report the case of a left intramural atrial hematoma complicating TEE procedure during cardiac arrest. This highlights a unique and to our knowledge, first-in-man, described complicating TEE procedure during CPR.ConclusionsFurther research on the safety of transesophageal echo during CRP is mandatory and the question about any potential harm of particular interest.Copyright © 2018 Elsevier Inc. All rights reserved.

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