title: Left atrial ball thrombus with acute mesenteric ischemia: anesthetic management and role of transesophageal echocardiography.
abstract: A 62 year old female with severe mitral stenosis, large left atrial ball thrombus and acute mesenteric ischemia emergently underwent mitral valve replacement, left atrial clot removal and emergency laparotomy for mesenteric ischemia. Peri-operative management issues, particularly, the anesthetic challenges and the role of transesophageal echocardiography are discussed.
authors.affiliation: Department of Cardiac Anaesthesia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Neeti
authors.initials: N
authors.lastname: Makhija
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Malankar
authors.forename: Pooja
authors.initials: P
authors.lastname: Singh
authors.forename: Sameer
authors.initials: S
authors.lastname: Goyal
authors.forename: Kartik
authors.initials: K
authors.lastname: Patel
authors.forename: Priya
authors.initials: P
authors.lastname: Jagia
mesh_terms: D000758:Anesthesia / Q000379:methods*; D002315:Cardiopulmonary Bypass; D003018:Clot Retraction; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging*; D007813:Laparotomy; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging*; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000601:surgery; D019990:Perioperative Care