Acute post-cardiopulmonary bypass left atrial thrombosis after mitral valvuloplasty and left atrial thrombectomy

Journal of Cardiothoracic Surgery

Sang-Jin Park²  Tae-Eun Jung¹  Dong-Hyup Lee¹ 

[1] Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Daegu, Korea;Department of Anesthesia and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea

关键词: cardiopulmonary bypass;    acute thrombosis;    mitral valvuloplasty;   

Others  :  1153518
DOI  :  10.1186/1749-8090-7-5

 received in 2011-10-07, accepted in 2012-01-11,  发布年份 2012

【 摘 要 】

A patient with mitral stenosis and multiple left atrial thrombi underwent valvuloplasty and thrombectomy. While closing the sternum after completing the cardiopulmonary bypass, a new left atrial thrombus was detected by transesophageal echocardiography. We used heparin for the prevention of new thrombus formation and closed the wound after meticulous bleeding control. Three months later, there was no residual thrombus in the left atrium according to the echocardiographic study.

【 授权许可】

   
2012 Lee et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Neira VM, Sawchuk C, Bonneville KS, Chu V, Warkentin TE: Case report: management of immediate post-cardiopulmonary bypass massive intra-cardiac thrombosis. Can J Anaesth 2007, 54:461-466.
• [2]Augoustides JG, Kilbaugh T, Harris H, Glick JH, Acker M, Savino JS: Fatal Thrombosis after Mitral Valve Replacement for Endocarditis: Aprotinin and Disseminated Intravascular Coagulation Anesthesiology. 2006, 105:428-429.
• [3]Tu CM, Hsueg CH, Chu KM, Cheng SM, Tsao TP: Simultaneous thromboses of double coronary arteries in a young male with antithrombin III deficiency. Am J Emerg Med 2009, 27:1169. e3-6
• [4]Bertram B, Remky A, Arend O, Wolf S, Reim M: Protein C, protein S, and antithrombin III in acute ocular occlusive diseases. Ger J Ophthalmol 1995, 4:332-335.
• [5]Ranucci M, Ballotta A, Frigiola A, Boncilli A, Brozzi S, Costa E, Mehta RH: Pre-operative homocysteine levels and morbidity and mortality following cardiac surgery. European Heart Journal 2009, 30:995-1004. Epub 2009 eb 17
• [6]Davoren A, Aster RH: Heparin-induced thrombocytopenia and thrombosis. Am J Hematol 2006, 81:36-44.
• [7]Warkentin TE, Greinacher A: Heparin-induced thrombocytopenia and cardiac surgery. Ann Thorac Surg 2003, 76:2121-2131. Review