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Case Reports in Transplantation
Volume 2016 (2016), Article ID 6268370, 5 pages
Case Report

Emergent Management of Intracardiac Thrombosis during Liver Transplantation

1Department of Anesthesia and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
2Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA

Received 16 October 2016; Accepted 20 November 2016

Academic Editor: Luca Cicalese

Copyright © 2016 Caroline Protin et al. 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.


Intraoperative thromboembolism is a well-documented complication associated with orthotopic liver transplantation (OLT) but its identification and intraoperative treatment are still an emerging topic in anesthesia. Intracardiac thrombus during OLT is associated with a high mortality rate. There are only a few reports describing the successful management of thromboembolism during OLT. We describe a case where routine intraoperative transesophageal echocardiography during a live donor liver transplantation enabled early detection of an intracardiac thrombus with subsequent successful heparin treatment. Our case suggests that if an intracardiac thrombus is identified early (before hemodynamic instability occurs), the use of IV heparin may be a safe therapeutic option.