经食道超声心动图诊断双肺移植术中左侧血栓形成:下一步是什么?

D. Perez-Ajami , P. Carmona García , I. Zarragoikoetxea Jauregui , G. Sales Badía , P. Argente Navarro
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引用次数: 0

摘要

一名无血栓形成倾向的 61 岁男子因慢性阻塞性肺疾病晚期接受了顺序双肺移植手术,但未接受体外膜氧合(ECMO)支持。植入双肺并再灌注后,进行了全面的经食道超声心动图检查,以检查肺静脉吻合情况。检查结果显示,左心房内有一个巨大、异质、致密、高回声的游离漂浮肿块,与肺循环中的血栓相吻合。他们将这一发现通知了手术团队,以便重新打开吻合口并取出血块,防止出现重大并发症。患者苏醒后没有任何临床表现。
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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 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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