title: Right atrial thrombosis and pulmonary embolism after atrial septal defect repair.
abstract: A 3-year-old boy underwent surgical closure of a large ostium secundum atrial septal defect. This was complicated with extensive right atrial thrombus formation and pulmonary thromboembolism immediately following surgery. He was managed with emergency surgical thromboembolectomy and anticoagulation. However, new thrombus was formed again immediately. This prompted us to add thrombolysis to his treatment, but with no effect. He died on the fifth postoperative day. A postmortem study confirmed extensive thromboembolism.
authors.affiliation: Department of Pediatric Cardiac Surgery, University Hospitals Virgen del Rocío, Manuel Siurot Avenue, 41013 Seville, Spain. antoniogc_77@hotmail.com
authors.forename: Antonio
authors.initials: A
authors.lastname: González-Calle
authors.forename: Alejandro
authors.initials: A
authors.lastname: Adsuar-Gómez
authors.forename: Antonio
authors.initials: A
authors.lastname: Moruno-Tirado
authors.forename: Amir-Reza
authors.initials: AR
authors.lastname: Hosseinpour
mesh_terms: D002675:Child, Preschool; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000209:etiology*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*