Role of Transesophageal Echocardiography in the Diagnosis of Multi-chamber Intracardiac Thrombosis During Liver Transplantation: A Case Series
| Autor: | G. Burkhard Mackensen, Alexander A. Vitin, Jocelyn Yun-Ling Wang, Kenneth Martay |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Resuscitation
medicine.medical_specialty Orthotopic liver transplantation medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Liver transplantation 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Stage (cooking) intra-cardiac thrombosis liver transplantation business.industry RC86-88.9 transesophageal echocardiography Gold standard Medical emergencies. Critical care. Intensive care. First aid General Medicine medicine.disease Thrombosis Pulmonary embolism Surgery business Intracardiac thrombosis |
| Zdroj: | The Journal of Critical Care Medicine The Journal of Critical Care Medicine, Vol 6, Iss 3, Pp 194-199 (2020) |
| ISSN: | 2393-1817 2393-1809 |
| Popis: | Intra-cardiac thrombosis is one of the most devastating complications during liver transplantation. In the majority of cases, ICT, followed by massive pulmonary embolism, is commonly occurring shortly after liver graft reperfusion, but it has been reported to occur at any stage of the surgery. We present a series of 3 cases of intra-cardiac thrombosis during orthotopic liver transplantation surgery, including a case of four-chamber intra-cardiac clot formation during the pre-anhepatic stage. This article represents a single-centre 14 year-long experience. Intra-operative TEE is the gold standard to diagnose intra-cardiac thrombosis, monitoring its size, location and dynamics, as well as myocardial performance and the effects of resuscitation efforts. |
| Databáze: | OpenAIRE |
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