在一个肝的 Intraoperative intracardiac 血栓移植病人

• 作者: C Burcin Taner David J Kramer Juan M Canabal Justin H Nguyen Lena Sibulesky Prith Peiris
• 来源期刊: 世界肝病学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Liver transplantation Cardiac THROMBUS Reperfusion injury COAGULOPATHY TRANSESOPHAGEAL ECHOCARDIOGRAM
• 年，卷（期）: 2010,（5）
• 页码范围: 198-200
• 页数: 3页
• 分类号: R657.3

摘要

A 66-year-old female with cryptogenic cirrhosis complicated by ascites,hepatic encephalopathy,variceal bleeding and malnutrition with MELD of 34 underwent orthotopic deceased donor liver transplantation performed with piggyback technique.Extensive eversion thromboendovenectomy was performed for a portal vein thrombus which resulted in an excellent portal vein flow.The liver graft was recirculated without any hemodynamic instability.Subsequently,the patient became hypotensive progressing to asystole.She was resuscitated and a transesophageal probe was inserted which revealed a mobile right atrial thrombus and an underfilled poorly contractile right ventricle.The patient was noted to be coagulopathic at the time.She became progressively more stable with a TEE showing complete resolution of the intracardiac thrombus.