An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus

Detalhes bibliográficos
Autor(a) principal: Gologorsky,Edward
Data de Publicação: 2009
Outros Autores: Carvalho,Enisa M, Macedo,Francisco Igor, Salerno,Tomas
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000500022
Resumo: 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).
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spelling An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombusEmbolism and thrombosisEchocardiography, transesophagealEchocardiographyIntra-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).Sociedade Brasileira de Cirurgia Cardiovascular2009-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000500022Brazilian Journal of Cardiovascular Surgery v.24 n.4 2009reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.1590/S0102-76382009000500022info:eu-repo/semantics/openAccessGologorsky,EdwardCarvalho,Enisa MMacedo,Francisco IgorSalerno,Tomaseng2010-04-07T00:00:00Zoai:scielo:S0102-76382009000500022Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2010-04-07T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
title An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
spellingShingle An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
Gologorsky,Edward
Embolism and thrombosis
Echocardiography, transesophageal
Echocardiography
title_short An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
title_full An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
title_fullStr An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
title_full_unstemmed An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
title_sort An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus
author Gologorsky,Edward
author_facet Gologorsky,Edward
Carvalho,Enisa M
Macedo,Francisco Igor
Salerno,Tomas
author_role author
author2 Carvalho,Enisa M
Macedo,Francisco Igor
Salerno,Tomas
author2_role author
author
author
dc.contributor.author.fl_str_mv Gologorsky,Edward
Carvalho,Enisa M
Macedo,Francisco Igor
Salerno,Tomas
dc.subject.por.fl_str_mv Embolism and thrombosis
Echocardiography, transesophageal
Echocardiography
topic Embolism and thrombosis
Echocardiography, transesophageal
Echocardiography
description 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).
publishDate 2009
dc.date.none.fl_str_mv 2009-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000500022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000500022
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-76382009000500022
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.24 n.4 2009
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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