Surgical Removal of Large Thrombus at the Suture Site of the Right Atriotomy after Atrial Septal Defect Closure Associated with Pulmonary Embolism: 1 case.
- Author:
You Ju HWANG
1
;
Young Chan AHN
;
Chang Ha LEE
;
Yang Bin JEON
;
Jae Woong LEE
;
Chul Hyun PARK
;
Kook Yang PARK
Author Information
1. Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center, Korea. leechha@ghil.com
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Thrombosis;
Heart surgery;
Heart atrium
- MeSH:
Cardiopulmonary Bypass;
Dyspnea;
Echocardiography;
Echocardiography, Transesophageal;
Female;
Follow-Up Studies;
Heart Atria;
Heart Septal Defects, Atrial*;
Heparin;
Humans;
Lung;
Middle Aged;
Perfusion;
Pulmonary Embolism*;
Sutures*;
Thoracic Surgery;
Thrombosis*;
Warfarin
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(5):448-451
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Report of right atrial thrombus complicating pulmonary embolism after cardiac surgery is rare. A 54-year-old woman operated on the atrial septal defect 10 months ago was admitted for left pleuritic pain and dyspnea. Multiple segmental perfusion defects were detected in lung perfusion scan. Transesophageal echocardiography showed a large mobile right atrial mass attached to the free wall of the right atrium with a stalk. Despite the intravenous heparinization for 13 days, follow-up echocardiography revealed the right atrial mass had not diminished in size. The mass which was confirmed as an organizing thrombus was excised under cardiopulmonary bypass. The patient recovered uneventfully and was discharged on warfarin therapy.
