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

Autores de IIS La Fe

• Paula Carmona García

  Autor

• Iratxe Zarragoikoetxea Jauregui

  Autor

Participantes ajenos a IIS La Fe

• Perez-Ajami, D
• Sales Badia, G
• Argente Navarro, P

Grupos

• Anestesia y Cuidados Críticos

• Medicina Perioperatoria, Anestesiología y Reanimación

Abstract

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.

Copyright © 2023. Publicado por Elsevier España, S.L.U.

Keywords

• Clot in transit; Double lung transplantation; Ecocardiografía transesofágica; Pulmonary vein thrombosis; Transoesophageal echocardiography; Trasplante bipulmonar; Trombo en tránsito; Trombosis de la vena pulmonar