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Updated: Jul 9, 2025
Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
Published on: October 11, 2024
Left side clot in transit in double-lung transplantation diagnosticated by transesophageal echocardiography: what's
D Perez-Ajami1, P Carmona García2, I Zarragoikoetxea Jauregui2
1Anesthesiology and Critical Care, Hospital La Fe, Valencia, Spain.
Abstract:
A 61-year-old man with no predisposition to thrombosis underwent sequential double lung transplantation without extracorporeal membrane oxygenation (ECMO) support due to terminal stage COPD. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography study was performed to check the pulmonary venous anastomosis. The study showed a large, heterogeneous, dense, hyperechoic free-floating mass in the left atrium compatible with a clot in transit from the pulmonary circulation. The surgical team were notified of this finding so that they could reopen the anastomosis and remove the clot to prevent a major complication. There were no clinical manifestations when the patient was awakened.
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