Abstract
Intra-cavitary thrombus size, mobility and friability are of great importance in deciding whether surgical removal is indicated. Thrombus characteristics may render surgical thrombectomy incomplete, a risk for catastrophic embolization. During de-airing of the heart, after removal of an intraventricular thrombus, filling the open ventricular cavity with blood serendipitously allowed trans-esophageal echocardiographic (TEE) visualization of undetected residual thrombi fragments. This experience leads us to advocate repeated filling and emptying of the left ventricle with blood, under TEE guidance, in order to facilitate complete removal of thrombotic material prior to ventriculotomy closure, and prior to weaning from cardiopulmonary bypass (CPB).
| Original language | Undefined/Unknown |
|---|---|
| Pages (from-to) | 578-580 |
| Number of pages | 3 |
| Journal | Brazilian Journal of Cardiovascular Surgery |
| Volume | 24 |
| Issue number | 4 |
| State | Published - Oct 1 2009 |
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Keywords
- Echocardiography
- Echocardiography, transesophageal
- Embolism and thrombosis
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Manobra intraoperatória guiada por ecocardiografia transesofágica para facilitar remoção de trombo intraventricular. / Gologorsky, Edward; Carvalho, Enisa M.; Macedo, Francisco Igor; Salerno, Tomas.
In: Brazilian Journal of Cardiovascular Surgery, Vol. 24, No. 4, 01.10.2009, p. 578-580.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Manobra intraoperatória guiada por ecocardiografia transesofágica para facilitar remoção de trombo intraventricular
AU - Gologorsky, Edward
AU - Carvalho, Enisa M.
AU - Macedo, Francisco Igor
AU - Salerno, Tomas
PY - 2009/10/1
Y1 - 2009/10/1
N2 - Intra-cavitary thrombus size, mobility and friability are of great importance in deciding whether surgical removal is indicated. Thrombus characteristics may render surgical thrombectomy incomplete, a risk for catastrophic embolization. During de-airing of the heart, after removal of an intraventricular thrombus, filling the open ventricular cavity with blood serendipitously allowed trans-esophageal echocardiographic (TEE) visualization of undetected residual thrombi fragments. This experience leads us to advocate repeated filling and emptying of the left ventricle with blood, under TEE guidance, in order to facilitate complete removal of thrombotic material prior to ventriculotomy closure, and prior to weaning from cardiopulmonary bypass (CPB).
AB - Intra-cavitary thrombus size, mobility and friability are of great importance in deciding whether surgical removal is indicated. Thrombus characteristics may render surgical thrombectomy incomplete, a risk for catastrophic embolization. During de-airing of the heart, after removal of an intraventricular thrombus, filling the open ventricular cavity with blood serendipitously allowed trans-esophageal echocardiographic (TEE) visualization of undetected residual thrombi fragments. This experience leads us to advocate repeated filling and emptying of the left ventricle with blood, under TEE guidance, in order to facilitate complete removal of thrombotic material prior to ventriculotomy closure, and prior to weaning from cardiopulmonary bypass (CPB).
KW - Echocardiography
KW - Echocardiography, transesophageal
KW - Embolism and thrombosis
UR - http://www.scopus.com/inward/record.url?scp=77949902047&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77949902047&partnerID=8YFLogxK
M3 - Article
VL - 24
SP - 578
EP - 580
JO - Brazilian Journal of Cardiovascular Surgery
JF - Brazilian Journal of Cardiovascular Surgery
SN - 0102-7638
IS - 4
ER -