Formation of intracardiac thrombus during cardiopulmonary bypass despite full heparinization and adequate activated clotting time -A case report-.
We reports a case of a newly formed thrombus in the left atrial appendage during cardiopulmonary bypass detected by transesophageal echocardiography in a patient with chronic atrial fibrillation and mitral stenosis. This case alerts the anesthesiologists of possible thrombus formation despite full heparinization during cardiac surgery and the importance of a comprehensive echocardiography examination.
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
So Yeon
SY
Kim
Jong Wook
JW
Song
Yoon-Seong
YS
Jang
Young Lan
YL
Kwak