The Annals of Thoracic Surgery, Vol 52, 313-315, Copyright © 1991 by The Society of Thoracic Surgeons
Removal of massive right atrial thrombus guided by transesophageal echocardiography
WL Holman, CH Coghlan, MR Dodson, R Balal and NC Nanda
Division of Cardiothoracic Surgery, University of Alabama, Birmingham.
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.