Kosin Med J.  2018 Dec;33(2):235-239. 10.7180/kmj.2018.33.2.235.

Mallory-Weiss Tear After Cardiopulmonary Resuscitation in a Patient Suffering From Acute Myocardial Infarction

Affiliations
  • 1Department of Internal Medicine, Yangsan Pusan National University School of Medicine, Korea. plusmed2143@gmail.com

Abstract

A report of a 79 year old male patient suffering from acute myocardial infarction with Mallory-Weiss tear after successful cardiopulmonary resuscitation(CPR) by emergency medical technician in the swimming pool is presented. Successful percutaneous coronary intervention(PCI) was done after appropriate transfusion. The patient survived and discharged without major complications after admitting 11days in the hospital. Importance of CPR in AMI patient is reiterated as complication such as Mallory-Weiss tear may arise.

Keyword

Acute myocardial infarction; Cardiopulmonary resuscitation; Mallory-Weiss tear

MeSH Terms

Cardiopulmonary Resuscitation*
Emergency Medical Technicians
Humans
Male
Mallory-Weiss Syndrome*
Myocardial Infarction*
Swimming Pools

Figure

  • Fig. 1 (A) Endoscopic gastro-duodenoscopy (EGD) performed to reveal Mallory-Weiss tearin esophagogastric junction and gastric cardia (arrow). (B) Follow up EGD 8days after initial EGD showing healed Mallory-Weiss tear (arrow).

  • Fig. 2 (A) Coronary angiography (CAG) showing stenosis of mid right coronary artery (arrow). (B) CAG taken after stent insertion.


Reference

1. Oh BJ, Hwang SO, Kim SW, Kang GH, Mun JB, Lee KH, Kim JM. Mallory-Weiss syndrome during cardiopulmonary resuscitation by an untrained bystander. J Korean Soc Emerg Med. 1999; 10:122–127.
2. Sommers MS. Potential for injury: Trauma after cardiopulmonary resuscitation. Heart Lung. 1991; 20:287–295.
3. Adler SN, Klein RA, Pellecchia C, Lyon DT. Massive hepatic hemorrhage associated with cardiopulmonary resuscitation. Arch Intern Med. 1983; 143:813–814.
Article
4. Elliot DL, Goldberg L, Shlitt SC, Girard DE. Emphysematous cholecystitis following cardiopulmonary resuscitation. Arch Intern Med. 1984; 144:635–636.
Article
5. Custer JR, Polley TZ Jr, Moler F. Gastric perforation following cardiopulmonary resuscitation in a child: report of a case and review of the literature. Pediatr Emerg Care. 1987; 3:24–27.
Article
6. Spoormans I, Van Hoorenbeeck K, Balliu L, Jorens PG. Gastric perforation after cardiopulmonary resuscitation: review of the literature. Resuscitation. 2010; 81:272–280.
Article
7. Reiger J, Eritscher C, Laubreiter K, Trattnig J, Sterz F, Grimm G. Gastric rupture--an uncommon complication after successful cardiopulmonary resuscitation: report of two cases. Resuscitation. 1997; 35:175–178.
Article
8. Da Broi U, Moreschi C, Castellani M, Antonella B. Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case. J Forensic Leg Med. 2009; 16:24–26.
Article
9. Kinoshita Y, Furuta K, Adachi K, Amano Y. Asymmetrical circumferential distribution of esophagogastric junctional lesions: anatomical and physiological considerations. J Gastroenterol. 2009; 44:812–818.
Article
10. Lundberg GD, Mattei IR, Davis CJ, Nelson DE. Hemorrhage from gastroesophageal lacerations following closed-chest cardiac massage. JAMA. 1967; 202:195–198.
Article
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