Emergent Management of Intracardiac Thrombosis during Liver Transplantation
Intraoperative thromboembolism is a well-documented complication associated with orthotopic liver transplantation (OLT) but its identification and intraoperative treatment are still an emerging topic in anesthesia. Intracardiac thrombus during OLT is associated with a high mortality rate. There are...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2016/6268370 |
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| _version_ | 1832565828645552128 |
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| author | Caroline Protin Dmitri Bezinover Zakiyah Kadry Thomas Verbeek |
| author_facet | Caroline Protin Dmitri Bezinover Zakiyah Kadry Thomas Verbeek |
| author_sort | Caroline Protin |
| collection | DOAJ |
| description | Intraoperative thromboembolism is a well-documented complication associated with orthotopic liver transplantation (OLT) but its identification and intraoperative treatment are still an emerging topic in anesthesia. Intracardiac thrombus during OLT is associated with a high mortality rate. There are only a few reports describing the successful management of thromboembolism during OLT. We describe a case where routine intraoperative transesophageal echocardiography during a live donor liver transplantation enabled early detection of an intracardiac thrombus with subsequent successful heparin treatment. Our case suggests that if an intracardiac thrombus is identified early (before hemodynamic instability occurs), the use of IV heparin may be a safe therapeutic option. |
| format | Article |
| id | doaj-art-fa9baab943c9410b8faeda689b761e21 |
| institution | Kabale University |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-fa9baab943c9410b8faeda689b761e212025-02-03T01:06:41ZengWileyCase Reports in Transplantation2090-69432090-69512016-01-01201610.1155/2016/62683706268370Emergent Management of Intracardiac Thrombosis during Liver TransplantationCaroline Protin0Dmitri Bezinover1Zakiyah Kadry2Thomas Verbeek3Department of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USADepartment of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USADepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USADepartment of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USAIntraoperative thromboembolism is a well-documented complication associated with orthotopic liver transplantation (OLT) but its identification and intraoperative treatment are still an emerging topic in anesthesia. Intracardiac thrombus during OLT is associated with a high mortality rate. There are only a few reports describing the successful management of thromboembolism during OLT. We describe a case where routine intraoperative transesophageal echocardiography during a live donor liver transplantation enabled early detection of an intracardiac thrombus with subsequent successful heparin treatment. Our case suggests that if an intracardiac thrombus is identified early (before hemodynamic instability occurs), the use of IV heparin may be a safe therapeutic option.http://dx.doi.org/10.1155/2016/6268370 |
| spellingShingle | Caroline Protin Dmitri Bezinover Zakiyah Kadry Thomas Verbeek Emergent Management of Intracardiac Thrombosis during Liver Transplantation Case Reports in Transplantation |
| title | Emergent Management of Intracardiac Thrombosis during Liver Transplantation |
| title_full | Emergent Management of Intracardiac Thrombosis during Liver Transplantation |
| title_fullStr | Emergent Management of Intracardiac Thrombosis during Liver Transplantation |
| title_full_unstemmed | Emergent Management of Intracardiac Thrombosis during Liver Transplantation |
| title_short | Emergent Management of Intracardiac Thrombosis during Liver Transplantation |
| title_sort | emergent management of intracardiac thrombosis during liver transplantation |
| url | http://dx.doi.org/10.1155/2016/6268370 |
| work_keys_str_mv | AT carolineprotin emergentmanagementofintracardiacthrombosisduringlivertransplantation AT dmitribezinover emergentmanagementofintracardiacthrombosisduringlivertransplantation AT zakiyahkadry emergentmanagementofintracardiacthrombosisduringlivertransplantation AT thomasverbeek emergentmanagementofintracardiacthrombosisduringlivertransplantation |