title: Massive Thrombosis of the Transplanted Heart in the Early Postoperative Period.
abstract: We experienced a case with the left atrium almost completely filled with a thrombus after orthotopic heart transplantation while the patient was supported on extracorporeal membrane oxygenation for primary graft failure. The patient had recurrent thrombosis even after successful surgical thrombectomy and appropriate anticoagulation. The cardiac thrombosis resolved only after starting plasmapheresis.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Daizo
authors.initials: D
authors.lastname: Tanaka
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Harrison T
authors.initials: HT
authors.lastname: Pitcher
authors.affiliation: Division of Cardiology, Department of Medicine, Thomas Jefferson University, 925 Chestnut, Philadelphia, Pennsylvania.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Mather
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: John W C
authors.initials: JW
authors.lastname: Entwistle
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000601:surgery*; D010956:Plasmapheresis; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011184:Postoperative Period; D012008:Recurrence; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants