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Acute post-cardiopulmonary bypass left atrial thrombosis after mitral valvuloplasty and left atrial thrombectomy
Dong-Hyup Lee1, Tae-Eun Jung, Sang-Jin Park
1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
Abstract:
A patient with mitral stenosis and multiple left atrial thrombi underwent valvuloplasty and thrombectomy. While closing the sternum after completing the cardiopulmonary bypass, a new left atrial thrombus was detected by transesophageal echocardiography. We used heparin for the prevention of new thrombus formation and closed the wound after meticulous bleeding control. Three months later, there was no residual thrombus in the left atrium according to the echocardiographic study.
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