<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Intra-cardiac thrombosis is one of the most devastating complications during liver transplantation. In the majority of cases, ICT, followed by massive pulmonary embolism, is commonly occurring shortly after liver graft reperfusion, but it has been reported to occur at any stage of the surgery. We present a series of 3 cases of intra-cardiac thrombosis during orthotopic liver transplantation surgery, including a case of four-chamber intra-cardiac clot formation during the pre-anhepatic stage. This article represents a single-centre 14 year-long experience. Intra-operative TEE is the gold standard to diagnose intra-cardiac thrombosis, monitoring its size, location and dynamics, as well as myocardial performance and the effects of resuscitation efforts.</p></abstract>

Intra-cardiac thrombosis is one of the most devastating complications during liver transplantation. In the majority of cases, ICT, followed by massive pulmonary embolism, is commonly occurring shortly after liver graft reperfusion, but it has been reported to occur at any stage of the surgery. We present a series of 3 cases of intra-cardiac thrombosis during orthotopic liver transplantation surgery, including a case of four-chamber intra-cardiac clot formation during the pre-anhepatic stage. This article represents a single-centre 14 year-long experience. Intra-operative TEE is the gold standard to diagnose intra-cardiac thrombosis, monitoring its size, location and dynamics, as well as myocardial performance and the effects of resuscitation efforts.

Role of Transesophageal Echocardiography in the Diagnosis of Multi-chamber Intracardiac Thrombosis During Liver Transplantation: A Case Series

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Intra-cardiac thrombosis is one of the most devastating complications during liver transplantation. In the majority of cases, ICT, followed by massive...

Role of Transesophageal Echocardiography in the Diagnosis of Multi-chamber Intracardiac Thrombosis During Liver Transplantation: A Case Series

Article Category: Case report

Publicado en línea: 11 ago 2020

Páginas: 194 - 199

Recibido: 08 may 2020

Aceptado: 23 jul 2020

DOI: https://doi.org/10.2478/jccm-2020-0029

Palabras clave
intra-cardiac thrombosis, liver transplantation, transesophageal echocardiography

© 2020 Jocelyn Y. Wang, G. Burkhard Mackensen, Alexander Vitin, Kenneth Martay, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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Role of Transesophageal Echocardiography in the Diagnosis of Multi-chamber Intracardiac Thrombosis During Liver Transplantation: A Case Series

Article Category: Case report

Publicado en línea: 11 ago 2020

Páginas: 194 - 199

Recibido: 08 may 2020

Aceptado: 23 jul 2020

DOI: https://doi.org/10.2478/jccm-2020-0029

Palabras claveintra-cardiac thrombosis, liver transplantation, transesophageal echocardiography

© 2020 Jocelyn Y. Wang, G. Burkhard Mackensen, Alexander Vitin, Kenneth Martay, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1

Fig. 2

Fig.3

Fig. 4

Palabras clave
intra-cardiac thrombosis, liver transplantation, transesophageal echocardiography