title: Management of extensive intracardiac thombosis in a patient with polycythemia vera undergoing coronary artery bypass grafting.
abstract: Polycythemia vera (PV) is a chronic myeloproliferative disorder with a predilection for thrombotic complications in affected patients. Intracardiac thrombosis is a rare manifestation of this disease, as documented in only a few published cases. In this report, we describe a PV patient who suddenly developed extensive thrombosis within all four cardiac chambers and severe ventricular dysfunction during a coronary artery bypass procedure. We also detail the intraoperative salvage maneuvers implemented in this case, which included deep hypothermic circulatory arrest with retrocerebral perfusion and four chamber thrombectomy.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio 44195-5108, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Lima
authors.forename: Edward
authors.initials: E
authors.lastname: Soltesz
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D017809:Fatal Outcome; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D011087:Polycythemia Vera / Q000150:complications*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*