title: Intracardiac thrombus: a risk of incomplete anticoagulation for cardiac operations.
abstract: 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.
authors.affiliation: Department of Anesthesia, University of Pennsylvania, Philadelphia 19104-4293.
authors.forename: A T
authors.initials: AT
authors.lastname: Cheung
authors.forename: S K
authors.initials: SK
authors.lastname: Levin
authors.forename: S J
authors.initials: SJ
authors.lastname: Weiss
authors.forename: M A
authors.initials: MA
authors.lastname: Acker
authors.forename: N
authors.initials: N
authors.lastname: Stenach
mesh_terms: 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
chemical_list: D006493:Heparin