Intracardiac thrombosis and acute right ventricular failure following complex reoperative cardiac surgery with aprotinin and deep hypothermic circulatory arrest

Marc E. Stone, Scott H. Silverman, Koichi Nomoto

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Although coagulopathy and bleeding are common in the setting of cardiac surgery, a growing number of case reports in the literature suggest that hypercoagulability may also result in significant morbidity and mortality. We present a case of apparent hypercoagulability with formation of thrombus in the cardiac chambers following reoperative cardiac surgery using cardiopulmonary bypass, aprotinin, and deep hypothermic arrest. A review of those hypercoagulable disorders with reported impact on cardiac surgery and a discussion follow the case presentation.

Original languageEnglish
Pages (from-to)177-184
Number of pages8
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume11
Issue number3
DOIs
StatePublished - Sep 2007

Keywords

  • Antifibrinolytic
  • Aprotinin
  • Cardiac
  • Cardiovascular
  • Deep hypothermic circulatory arrest
  • Hypercoagulability
  • Surgery
  • Thrombophilia
  • Thrombosis

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