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[Anesthetic management of thrombectomy for left ventricular huge mobile thrombus]
S Kurokawa1, S Fukuda, K Shimoji
1Department of Anesthesiology, Niigata University, School of Medicine.
Masui. the Japanese Journal of Anesthesiology
|July 8, 2000
Abstract:
A 45 year-old male underwent thrombectomy for huge mobile thrombus and aneurysmectomy in the left ventricle. Despite of the patient's preoperative poor cardiac function and difficulties in weaning from cardiopulmonary bypass, he could recover with the aid of left ventricular bypass for 6 days without complications such as thromboembolism. Intraoperative transesophageal echocardiography was useful in observation of thrombus, decision making in the adaptation and type-selection of mechanical ventricular support, and evaluation of its efficacy.