Emergent pulmonary thromboembolectomy and atrial septal aneurysmectomy for intracardiac impending paradoxical embolism: An en bloc approach to prevent clot embolism and facilitate repair

Autor:	Allan M Klompas, Kevin Greason, Roger L Click, William J Mauermann
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	embolectomy paradoxical embolism thrombus in transit Anesthesiology RD78.3-87.3 Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Annals of Cardiac Anaesthesia, Vol 24, Iss 4, Pp 476-478 (2021)
Druh dokumentu:	article
ISSN:	0971-9784
DOI:	10.4103/aca.ACA_186_20
Popis:	Although a patent foramen ovale (PFO) is relatively common, confirmed reports of thrombus entrapped within a PFO are uncommon. Management of impending paradoxical embolism (IPE), also called a thrombus in transit, lacks consensus but includes systemic anticoagulation (e.g., heparin), systemic thrombolysis, or surgical thrombectomy. We present a case of IPE diagnosed with intraoperative transesophageal echocardiography (TEE) as well as a novel en bloc approach to atrial septal aneurysmectomy to minimize embolism and facilitate repair of the interatrial septum. Timely use of intraoperative TEE may aid in diagnosis and help guide the surgical approach to minimize embolic risk with an IPE.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/f898b9572320468cae0b3a84b0249fbd Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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