Intraoperative intracardiac thrombosis in a liver transplant patient

作     者：Lena Sibulesky Prith Peiris C Burcin Taner David J Kramer Juan M Canabal Justin H Nguyen 

作者机构：Department of TransplantationDivision of Transplant SurgeryMayo ClinicJacksonvilleFL 32224United States Department of AnesthesiologyMayo ClinicJacksonvilleFL 32224United States Departments of Trans-plantation and Critical CareMayo ClinicJacksonvilleFL32224United States 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2010年第2卷第5期

页      面：198-200页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：NCI NIH HHS [P50 CA095817] Funding Source: Medline 

主　　题：Liver transplantation Cardiac thrombus Reperfusion injury Coagulopathy Transesophageal echocardiogram 

摘      要：A 66-year-old female with cryptogenic cirrhosis complicated by ascites,hepatic encephalopathy,variceal bleeding and malnutrition with MELD of 34 underwent orthotopic deceased donor liver transplantation performed with piggyback *** eversion thromboendovenectomy was performed for a portal vein thrombus which resulted in an excellent portal vein *** liver graft was recirculated without any hemodynamic ***,the patient became hypotensive progressing to *** was resuscitated and a transesophageal probe was inserted which revealed a mobile right atrial thrombus and an underfilled poorly contractile right *** patient was noted to be coagulopathic at the *** became progressively more stable with a TEE showing complete resolution of the intracardiac thrombus.