Massive intracardiac thrombosis during coronary artery bypass grafting surgery

Area of Science:

• Cardiovascular Medicine
• Hematology
• Surgical Complications

Background:

• Thrombosis poses a significant life-threatening risk in patients undergoing cardiac surgery.
• Numerous factors, including genetic predispositions (e.g., Factor V Leiden) and acquired conditions (e.g., cancer, antiphospholipid antibody syndrome), contribute to thrombotic events.
• Massive thrombi are observed in conditions like polycythemia vera, but intracardiac thrombus formation is exceptionally uncommon.

Observation:

• This report details a rare case of massive intracardiac thrombosis.
• The thrombosis occurred in a patient undergoing coronary artery bypass grafting (CABG).

Findings:

• Massive intracardiac thrombus formation was identified during coronary artery bypass grafting.
• This represents an extremely rare presentation of thrombosis in the cardiac chambers.

Implications:

• Understanding rare thrombotic complications is crucial for managing cardiac surgery patients.
• This case underscores the need for vigilance regarding unusual thrombus locations.
• Further research into the mechanisms and management of intracardiac thrombosis is warranted.