title: Emergent Management of Intracardiac Thrombosis during Liver Transplantation.
abstract: Intraoperative thromboembolism is a well-documented complication associated with orthotopic liver transplantation (OLT) but its identification and intraoperative treatment are still an emerging topic in anesthesia. Intracardiac thrombus during OLT is associated with a high mortality rate. There are only a few reports describing the successful management of thromboembolism during OLT. We describe a case where routine intraoperative transesophageal echocardiography during a live donor liver transplantation enabled early detection of an intracardiac thrombus with subsequent successful heparin treatment. Our case suggests that if an intracardiac thrombus is identified early (before hemodynamic instability occurs), the use of IV heparin may be a safe therapeutic option.
authors.affiliation: Department of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: Caroline
authors.initials: C
authors.lastname: Protin
authors.affiliation: Department of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: Dmitri
authors.identifier: 0000-0003-4384-8899
authors.initials: D
authors.lastname: Bezinover
authors.affiliation: Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: Zakiyah
authors.identifier: 0000-0001-9863-7402
authors.initials: Z
authors.lastname: Kadry
authors.affiliation: Department of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: Thomas
authors.identifier: 0000-0002-7663-1656
authors.initials: T
authors.lastname: Verbeek