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Ann Thorac Surg 1991;52:313-315
© 1991 The Society of Thoracic Surgeons

Articles

Removal of massive right atrial thrombus guided by transesophageal echocardiography

William L. Holman, MD*, Cecil H. Coghlan, MD, Mary R. Dodson, MD, Raj Balal, MD, Navin C. Nanda, MD

Divisions of Cardiothoracic Surgery and Cardiovascular Disease, University of Alabama at Birmingham and Birmingham Veteran's Administration Medical Center, Birmingham, Alabama, USA

Accepted for publication January 16, 1991.

* Address reprint requests to Dr Holman, Department of Surgery, University of Alabama at Birmingham University Station, Birmingham, AL 35294.

Formation of massive right atrial thrombi around a peritoneovenous shunt is a known complication of these devices. Removal of an obstructive right atrial thrombus requires cardiopulmonary bypass and has been associated with a high morbidity and mortality. Transesophageal echocardiography was used in this case to diagnose and guide the surgical removal of a massive right atrial thrombus.






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