Perez-Ajami D, Carmona García P, Zarragoikoetxea Jauregui I, Sales Badía G, Argente Navarro P. Left side clot in transit in double-lung transplantation diagnosticated by transesophageal echocardiography: what's next?
Rev Esp Anestesiol Reanim (Engl Ed) 2023:S2341-1929(23)00196-8. [PMID:
38065299 DOI:
10.1016/j.redare.2023.12.001]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 03/10/2023] [Indexed: 12/17/2023]
Abstract
A 61-year-old man with no predisposition to thrombosis underwent sequential double lung transplantation without extracorporeal membrane oxygenation (ECMO) support due to terminal stage COPD. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography study was performed to check the pulmonary venous anastomosis. The study showed a large, heterogeneous, dense, hyperechoic free-floating mass in the left atrium compatible with a clot in transit from the pulmonary circulation. The surgical team were notified of this finding so that they could reopen the anastomosis and remove the clot to prevent a major complication. There were no clinical manifestations when the patient was awakened.
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