Unexpected thrombus migration obstructing the right coronary ostium after thoracic aorta graft replacement

Jae Kwang Shim, Young Song, Taek Yeon Lee, Yoon Jae Kim, Young Lan Kwak

Research output: Contribution to journalArticle

Abstract

Unexpected and reversible causes of ventricular dysfunction requiring a prompt second surgical procedure to restore the cardiac function should always be sought before the initiation of positive inotropic support. We report a case of obstruction of the right coronary ostium by an organized thrombus that had migrated retrogradely from the false lumen of a dissected aortic aneurysm. The resultant ventricular dysfunction hindered separation from cardiopulmonary bypass. Prompt recognition was done by transesophageal echocardiography and a second surgical procedure was immediately performed to remove the thrombus before irreversible ventricular dysfunction occurred.

Original languageEnglish
Pages (from-to)318-320
Number of pages3
JournalJournal of Clinical Ultrasound
Volume42
Issue number5
DOIs
Publication statusPublished - 2014 Jun

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All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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