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Unexpected thrombus migration obstructing the right coronary ostium after thoracic aorta graft replacement

Authors
 Jae-Kwang Shim  ;  Young Song  ;  Taek-Yeon Lee  ;  Yoon-Jae Kim  ;  Young-Lan Kwak 
Citation
 Journal of Clinical Ultrasound, Vol.42(5) : 318-320, 2014 
Journal Title
 Journal of Clinical Ultrasound 
ISSN
 0091-2751 
Issue Date
2014
Abstract
Unexpected and reversible causes of ventricular dysfunction requiring a prompt second surgical procedure to restore the cardiac function should always be sought before the initiation of positive inotropic support. We report a case of obstruction of the right coronary ostium by an organized thrombus that had migrated retrogradely from the false lumen of a dissected aortic aneurysm. The resultant ventricular dysfunction hindered separation from cardiopulmonary bypass. Prompt recognition was done by transesophageal echocardiography and a second surgical procedure was immediately performed to remove the thrombus before irreversible ventricular dysfunction occurred.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jcu.22109/abstract
DOI
10.1002/jcu.22109
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
곽영란(Kwak, Young Lan) ORCID logo https://orcid.org/0000-0002-2984-9927
송영(Song, Young) ORCID logo https://orcid.org/0000-0003-4597-387X
심재광(Shim, Jae Kwang) ORCID logo https://orcid.org/0000-0001-9093-9692
이택연(Lee, Taek Yeon)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98732
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