Thrombus During Cardiac Surgery
A 73-year-old female with severe aortic stenosis presented for a minimally invasive aortic valve replacement. Prior to closure the patient was noted to have bleeding from the right atrium. Median sternotomy was made to control the bleeding. Platelets were administered to promote coagulation. Following this, the patient became hypotensive and hypoxic. TEE showed a large thrombus in the right atrium and IVC. The patient was recannulated and CPB was initiated for thrombectomy. Following thrombectomy the patient was weaned from bypass and transported to the ICU. This case discussion will address possible causes of thrombus during cardiac surgery.
McDavid M, Gill S. Thrombosis during cardiac surgery. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.