심폐우회로 이탈 중에 새로이 발견된 좌심방내 혈전

Abstract

A cardiopulmonary bypass (CPB) is associated with extensive thrombin generation and anticoagulation with heparin has been used to prevent thrombus formation. Therefore, intracardiac thrombus during CPB with full heparinization is rare and monitoring by transesophageal echocardiography (TEE) is the definite way to diagnose intracardiac thrombus during cardiac surgery. We report a newly detected left atrial thrombus during CPB weaning under full heparinization by intraoperative TEE monitoring in a patient with mitral regurgitation undergoing a mitral valve replacement.