title: Role of hybrid operating room in surgery for the right atrial thrombus, pulmonary thrombi, and ventricular septal rupture after myocardial infarction.
abstract: Free-floating right heart thrombi are uncommon and need emergency treatment in view of their tendency to dislodge and cause pulmonary embolism. We report a successful surgical management of a patient who had large mobile right atrial thrombus, bilateral pulmonary thrombi, coronary artery disease, and postmyocardial infarction ventricular septal rupture (VSR). The patient underwent coronary angiography, inferior vena cava filter placement, removal of thrombi from the right atrium and pulmonary arteries, repair of VSR, and coronary artery bypass graft surgery in a hybrid operating room.
authors.affiliation: Department of Cardiac Anaesthesia, Medanta Institute of Critical Care and Anesthesiology, Medanta-The Medicity, Gurgaon, Haryana, India.
authors.forename: Ajmer
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Cardiac Anaesthesia, Medanta Institute of Critical Care and Anesthesiology, Medanta-The Medicity, Gurgaon, Haryana, India.
authors.forename: Yatin
authors.initials: Y
authors.lastname: Mehta
authors.affiliation: Department of Peripheral Vascular and Endovascular Sciences, Medanta-The Medicity, Gurgaon, Haryana, India.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Parakh
authors.affiliation: Department of Cardiothoracic Surgery, Medanta-The Medicity, Gurgaon, Haryana, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Kohli
authors.affiliation: Department of Cardiothoracic Surgery, Medanta-The Medicity, Gurgaon, Haryana, India.
authors.forename: Naresh
authors.initials: N
authors.lastname: Trehan
mesh_terms: D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery; D009873:Operating Rooms / Q000379:methods*; D011651:Pulmonary Artery / Q000601:surgery; D011655:Pulmonary Embolism / Q000150:complications* / Q000601:surgery; D013927:Thrombosis / Q000150:complications* / Q000601:surgery; D018658:Ventricular Septal Rupture / Q000150:complications* / Q000601:surgery