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10.5606/tgkdc.dergisi.2023.24477
Off-pump surgical thrombectomy for subacute right atrial thrombus: A case report
Michael Shang1, Ulas Kumbasar2, Rajesh B. Sekar1, Pramod Bonde1
1Department of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, USA
2Department of Thoracic Surgery, Hacettepe University Faculty of Medicine, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2023.24477
Right heart thrombi can be seen in a minority of patients
with acute pulmonary embolism and are associated with an
increased mortality risk. The optimal treatment option comprises
thrombolysis or surgical thrombectomy either with catheterbased
interventions or with open surgery. Open right atrial
thrombectomy is usually performed under cardiopulmonary
bypass due to the need for concomitant pulmonary embolectomy.
Nevertheless, cardiopulmonary bypass has major drawbacks
such as the risk of stroke, coagulopathy, and myocardial and
respiratory dysfunction, particularly in high-risk patients. Herein,
we report a case of successful off-pump surgical thrombectomy
performed for the right atrial clot-in-transit following failure of
the catheter-based intervention.
Keywords : Surgery, thrombectomy, thrombus
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