• Journal of anesthesia · Jun 2023

    Case Reports

    New intra-conduit thrombus detected using transesophageal echocardiography immediately after weaning from cardiopulmonary bypass during the Fontan procedure: a case report.

    • Taiga Sunada, Jun Takeshita, and Kazuya Tachibana.
    • Osaka Women's and Children's Hospital, 840 Murodocho, Izumi, Osaka, Japan. sunada.taiga@gmail.com.
    • J Anesth. 2023 Jun 1; 37 (3): 482486482-486.

    AbstractThis study reports a case wherein a new thrombus was detected by transesophageal echocardiography in the conduit during extracardiac conduit Fontan procedure. Immediately after weaning from the cardiopulmonary bypass and administration of protamine, a thrombus was noted in the conduit by transesophageal echocardiography. Since the patient was hemodynamically stable, anticoagulation therapy was initiated after admission to the intensive care unit. One week post-surgery, imaging results showed residual thrombus, but the patient was safely discharged. Even during Fontan procedure, careful observation with transesophageal echocardiography is important because of the possibility of thrombus formation in the conduit.© 2023. The Author(s) under exclusive licence to Japanese Society of Anesthesiologists.

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