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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Ventricular Dysfunction
Thoracic Aorta
Thrombosis
Transplants
Aortic Aneurysm
Transesophageal Echocardiography
Cardiopulmonary Bypass

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Shim, Jae Kwang ; Song, Young ; Lee, Taek Yeon ; Kim, Yoon Jae ; Kwak, Young Lan. / Unexpected thrombus migration obstructing the right coronary ostium after thoracic aorta graft replacement. In: Journal of Clinical Ultrasound. 2014 ; Vol. 42, No. 5. pp. 318-320.
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Unexpected thrombus migration obstructing the right coronary ostium after thoracic aorta graft replacement. / Shim, Jae Kwang; Song, Young; Lee, Taek Yeon; Kim, Yoon Jae; Kwak, Young Lan.

In: Journal of Clinical Ultrasound, Vol. 42, No. 5, 06.2014, p. 318-320.

Research output: Contribution to journalArticle

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