Left side clot in transit in double-lung transplantation diagnosticated by transesophageal echocardiography: what´s next?

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 perf...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación (English ed.)
Main Authors:	Perez-Ajami, Daniel, García, Paula Carmona, Jauregui, Iratxe Zarragoikoetxea, Badía, Gabriel Sales, Navarro, Pilar Argente
Format:	Journal Article
Language:	English
Published:	Spain 06-12-2023
Subjects:	pulmonary vein thrombosis clot in transit ecocardiografía transesofágica trasplante bipulmonar transoesophageal echocardiography trombosis de la vena pulmonar double lung transplantation trombo en tránsito
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Summary:	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.
ISSN:	2341-1929