Korean J Anesthesiol.  2012 Jun;62(6):571-574. 10.4097/kjae.2012.62.6.571.

Formation of intracardiac thrombus during cardiopulmonary bypass despite full heparinization and adequate activated clotting time: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ylkwak@yuhs.ac
  • 2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

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.

Keyword

Atrial appendage; Atrial fibrillation; Cardiopulmonary bypass; Mitral stenosis; Thrombus; Transesophageal echocardiography

MeSH Terms

Atrial Appendage
Atrial Fibrillation
Cardiopulmonary Bypass
Echocardiography
Echocardiography, Transesophageal
Heparin
Humans
Mitral Valve Stenosis
Thoracic Surgery
Thrombosis
Heparin
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