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Iatrogenic thrombosis on the tendinous cords of the tricuspid valve

Ali Kubilay Korkut1, Serdar Celebi, Ilhan Gunay

  • 1Haseki Cardiology Institute, Istanbul University, Istanbul, Turkey. kubilaykorkut@superonline.com

Cardiology in the Young
|February 4, 2006
PubMed

Insights

This study reports a rare case of iatrogenic heart thrombosis in a child after surgery for Fallot's tetralogy. Surgical removal was necessary due to the risk of pulmonary embolism.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Thrombosis Research

Background:

  • Iatrogenic thrombosis is a rare complication following intracardiac operations.
  • This case involves a 30-month-old girl who underwent surgery for Fallot's tetralogy.

Observation:

  • Six months post-operation, echocardiography identified a 16x12 mm thrombus.
  • The thrombus was attached to the tendinous cords of the tricuspid valve's antero-superior leaflet.

Findings:

  • Medical management proved ineffective in resolving the intracardiac thrombus.
  • Surgical excision was performed to prevent potential pulmonary embolisation.

Implications:

  • This case highlights the importance of vigilant monitoring for rare thrombotic complications after pediatric cardiac surgery.
  • Prompt surgical intervention may be crucial in preventing serious embolic events.

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