Korean J Anesthesiol.  2012 Feb;62(2):175-178. 10.4097/kjae.2012.62.2.175.

Abrupt formation of intracardiac thrombus during cardiopulmonary bypass with full heparinization: A case report

• Kim SH
• Ryu JS
• Kim TY
• Yoon TG
• Kang W
• Song JE

• KMID: 2236299
• DOI: http://doi.org/10.4097/kjae.2012.62.2.175

Abstract

Intracardiac thrombus during cardiopulmonary bypass (CPB) with full heparinization is very rare but fatal. A 60-year-old woman was scheduled for aortic and mitral valve repairs with a maze procedure for mixed aortic and mitral valvular heart disease with atrial fibrillation. Preoperative transthoracic echocardiography and cardiac computed tomography showed moderate aortic regurgitation and moderate mitral stenosis with regurgitation. There was no intracardiac thrombus. Aortic and mitral valve repairs with the maze procedure were successfully performed without unexpected events. During CPB weaning, a mobile hyper-echogenic mass in the left atrium was detected on transesophageal echocardiography. After cardiac arrest, it was surgically removed. On completion of the operation, weaning from CPB was accomplished uneventfully. The patient fully recovered and was discharged from the intensive care unit on her third postoperative day.

Keyword

Cardiopulmonary bypass; Thrombosis; Transesophageal echocardiography

MeSH Terms

Aortic Valve Insufficiency
Atrial Fibrillation
Cardiopulmonary Bypass
Echocardiography
Echocardiography, Transesophageal
Female
Heart Arrest
Heart Atria
Heart Valve Diseases
Heparin
Humans
Intensive Care Units
Middle Aged
Mitral Valve
Mitral Valve Stenosis
Thrombosis
Weaning
Heparin