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Mediastinal Hematoma Following Orthotopic Heart Transplantation
Author(s) -
Dairywala Ismail T.,
Li Peng,
Khan Gazala N.,
Carroll Jim,
Deeb Michael,
Vannan Mani A.
Publication year - 2000
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2000.tb01229.x
Subject(s) - medicine
A 59-year-old female with history of endstage nonischemic idiopathic, dilated cardiomyopathy underwent cardiac transplantation. Twenty-four hours after the procedure, it was noted that she was having excessive drainage from her chest tubes. This was followed by hypotension and a decreased cardiac index. Emergent transthoracic echocardiography (TTE) was suboptimal except it was noted that the left atrium (LA) could not be adequately visualized (Fig. 1-A). Transesophageal echocardiography (TEE) showed compression of the LA roof (Fig. 1-B) and the right lower and upper pulmonary veins (RLPV, RUPV) by a large hematoma (Fig. 1 0 . Operative hemostasis of the bleeding from the inferior vena cava (IVC) cannulation sites, pulmonary artery anastomosis sites, and the atrial suture lines was successfully achieved with good clinical outcome. The three-dimensional (3-D) reconstruction of digitally acquired transesophageal images (HP 5500, Agilent Technologies, Andover, MA, USA) was performed off line using EchoView