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Ann Thorac Surg 1999;68:563-564
© 1999 The Society of Thoracic Surgeons

Case Reports

Right ventricular thrombosis early after bidirectional Glenn shunt

Kazuhito Imanaka, MDa, Shinichi Takamoto, MDa, Arata Murakami, MDa, Yukihiro Kaneko, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Imanaka, First Department of Surgery, Saitama Medical School, 38 Morohongo, Moroyama-machi, Iruma-Gun, Saitama 350-0495, Japan

Thrombosis in the right ventricle occurred early after b idirectional superior cavopulmonary shunt in 2 patients with pulmonary atresia with intact ventricular septum and major right ventricular coronary artery communication, and perioperative brain infarction occurred in 1 patient. Clinicians should be aware of the hazards of this potentially lethal complication, and transfusion of platelets and fresh plasma should be minimized. Although the hemodynamic state is good, echocardiography should be performed frequently and strict anticoagulation should be started as early as possible.




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