Formation of intracardiac thrombus during cardiopulmonary bypass despite full heparinization and adequate activated clotting time: A case report.
10.4097/kjae.2012.62.6.571
- Author:
So Yeon KIM
1
;
Jong Wook SONG
;
Yoon Seong JANG
;
Young Lan KWAK
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ylkwak@yuhs.ac
- Publication Type:Case Report
- Keywords:
Atrial appendage;
Atrial fibrillation;
Cardiopulmonary bypass;
Mitral stenosis;
Thrombus;
Transesophageal echocardiography
- MeSH:
Atrial Appendage;
Atrial Fibrillation;
Cardiopulmonary Bypass;
Echocardiography;
Echocardiography, Transesophageal;
Heparin;
Humans;
Mitral Valve Stenosis;
Thoracic Surgery;
Thrombosis
- From:Korean Journal of Anesthesiology
2012;62(6):571-574
- CountryRepublic of Korea
- Language:English
-
Abstract:
We reports a case of a newly formed thrombus in the left atrial appendage during cardiopulmonary bypass detected by transesophageal echocardiography in a patient with chronic atrial fibrillation and mitral stenosis. This case alerts the anesthesiologists of possible thrombus formation despite full heparinization during cardiac surgery and the importance of a comprehensive echocardiography examination.