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Case Reports
. 2025 Mar 31;25(1):143.
doi: 10.1186/s12871-025-03021-1.

Transesophageal echocardiogram contributes to high-quality cardiopulmonary resuscitation: a case report

Qiong Wang  1 , Bin Lu  2
Affiliations
Case Reports

Transesophageal echocardiogram contributes to high-quality cardiopulmonary resuscitation: a case report

Qiong Wang et al. BMC Anesthesiol. .

Abstract

Background: Difficulties to identify the cause of cardiac arrest in a short period of time lead to prolonging the time for cardiopulmonary resuscitation (CPR) and to poor survival. Transesophageal echocardiogram (TEE) can assist CPR of long duration and improve outcome.

Case presentation: In this case report, a 50-year-old man was scheduled to undergo a endoscopic cervical discectomy under general anesthesia. The patient suffered a sudden cardiac arrest during the operation, and a high-quality CPR was performed with the the help of TEE. Although the exact etiology of cardiac arrest remained unclear and the CPR was performed for up to 90 min, the patient returned to spontaneous circulation, and was discharged after a month of treatment and rehabilitation, resuming his daily activities. After a one year of follow-up, he still was without any sequelae.

Conclusions: Perioperative cardiac arrest is unpredictable and catastrophic, so high-quality CPR is essential. TEE's excellent features make it ideal for use on resuscitation and can improve the outcome of cardiac arrest.

Keywords: Cardiopulmonary resuscitation; Perioperative cardiac arrest; Transesophageal echocardiography.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This case report was approved by the Institutional Ethics Committee of Zigong Fourth People’s Hospital. The patient had signed the informed consent for this anesthesia procedure. Consent for publication: Written informed consent was obtained from the patient for publication of this article and any accompanying images. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
A. Preoperative examination; B. Preoperative examination; C. Isolated valve movement; D. Heartbeat recovery
See this image and copyright information in PMC

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