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Case Reports in Transplantation
Volume 2013 (2013), Article ID 618352, 3 pages
http://dx.doi.org/10.1155/2013/618352
Case Report

Intracardiac Thrombosis during Adult Liver Transplantation

Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10463, USA

Received 5 May 2013; Accepted 7 July 2013

Academic Editors: M. R. Moosa, Y. Sugawara, and R. Zhang

Copyright © 2013 Marina Moguilevitch and Carlene Broderick. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intracardiac thrombosis (ICT) and pulmonary embolism (PE) during adult liver transplantation are rare but potentially lethal complications. They are often overlooked because of significant diagnostic challenges. The combination of hemodynamic compromise and transesophageal echocardiography (TEE) findings allows for correct diagnosis. A large variety of putative risk factors for ICT and PE have been suggested, but these events are considered to be multifactorial. There are different proposed treatment modalities for these devastating complications. Unfortunately, in spite of growing knowledge in this area, intraoperative and postoperative mortalities remain very high. The retrospective nature of the study of these events makes the case reports extremely valuable.