Intraoperative intracardiac thrombosis in a liver transplant patient

Lena Sibulesky, Prith Peiris, Burcin B. Taner, David J. Kramer, Juan J. Canabal, Justin J. Nguyen

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

A 66-year-old female with cryptogenic cirrhosis complicated by ascites, hepatic encephalopathy, variceal bleeding and malnutrition with MELD of 34 underwent orthotopic deceased donor liver transplantation performed with piggyback technique. Extensive eversion thromboendovenectomy was performed for a portal vein thrombus which resulted in an excellent portal vein flow. The liver graft was recirculated without any hemodynamic instability. Subsequently, the patient became hypotensive progressing to asystole. She was resuscitated and a transesophageal probe was inserted which revealed a mobile right atrial thrombus and an underfilled poorly contractile right ventricle. The patient was noted to be coagulopathic at the time. She became progressively more stable with a TEE showing complete resolution of the intracardiac thrombus.

Original languageEnglish (US)
Pages (from-to)198-200
Number of pages3
JournalWorld Journal of Hepatology
Volume2
Issue number5
DOIs
StatePublished - Dec 1 2010

Keywords

  • Cardiac thrombus
  • Coagulopathy
  • Liver transplantation
  • Reperfusion injury
  • Transesophageal echocardiogram

ASJC Scopus subject areas

  • Hepatology

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