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Diagnosis of a huge right atrial thrombus during coronary artery bypass graft surgery

Omer Senarslan, Mustafa Zungur, ─░hsan Sami Uyar, Samet Uyar, Talat Tavli, Emin Alp Alayunt

(Izmir, Turkey)

Am J Case Rep 2013; 14:388-390

DOI: 10.12659/AJCR.889327


Background: Intra-operative formation of a thrombus in the right heart is rare and might be unrecognized. However, it can be associated with severe consequences, including pulmonary embolism and death.
Case Report: We report the case of a 73-year-old man who presented to the cardiologist with angina pectoris and rare shortness of breath. Coronary artery bypass grafting (CABG) was performed due to multi-vessel disease. Because of hemodynamic insufficiency, an intra-operative transesophageal echocardiogram (TEE) was performed and a huge free-floating thrombus was detected. Multiple thrombi were removed from the right heart and pulmonary arteries. The patient died after cardiopulmonary bypass support and 12 hours of intensive care.
Conclusions: In this case report, we emphasize the importance of the TEE during the preoperational period and during CABG, as well as in the preoperative evaluation of pulmonary hypertension.

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