Open AccessIntraoperative intracardiac thrombosis in a liver transplant patient
Author(s) -
Lena Sibulesky,
Prith Peiris,
C. Burcin Taner,
David J. Kramer,
Juan M. Canabal,
Justin H. Nguyen
Publication year - 2010
Publication title -
world journal of hepatology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 55
ISSN - 1948-5182
DOI - 10.4254/wjh.v2.i5.198
Subject(s) - medicine , thrombus , ascites , cirrhosis , asystole , cardiology , intracardiac injection , thrombosis , liver transplantation , surgery , portal vein thrombosis , transplantation
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.