Intracardiac thrombus: a risk of incomplete anticoagulation for cardiac operations.
Mitral valve replacement was performed urgently in a patient with hemorrhagic brain lesions. To decrease the risk of intracranial hemorrhage, cardiopulmonary bypass was performed using a heparin-coated perfusion system and a reduced dose of heparin. The detection of an acute intracardiac thrombus by transesophageal echocardiography during cardiopulmonary bypass exposed a potential hazard of techniques employing reduced systemic anticoagulation for cardiac operations.
Cheung
A T
AT
Department of Anesthesia, University of Pennsylvania, Philadelphia 19104-4293.
Levin
S K
SK
Weiss
S J
SJ
Acker
M A
MA
Stenach
N
N
D000208:Acute Disease; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D002543:Cerebral Hemorrhage / Q000150:complications; D017548:Echocardiography, Transesophageal; D004630:Emergencies; D004697:Endocarditis, Bacterial / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D012307:Risk Factors; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control
D006493:Heparin