Intraoperative vascular air embolism and intracardiac thrombosis complicating liver transplantation: a case report

Intracardiac thrombus and vascular air embolism represent rare complications in the context of orthotopic liver transplantation. While isolated reports exist for intracardiac thrombus and vascular air embolism during orthotopic liver transplantation, this report presents the first documentation of t...

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Bibliographic Details
Published in:Journal of medical case reports 2024-02, Vol.18 (1), p.59-59, Article 59
Main Authors: Sinclair De Frías, Jorge, Olivero, Lorenzo, Fleissner, Zachary, Burns, Justin, Chadha, Ryan, Moreno Franco, Pablo
Format: Article
Language:English
Subjects:
Air embolism
Ascites
Blood clots
Cardiac arrest
Case Report
Case reports
Catheters
Cirrhosis
Embolisms
Heart
Hemodynamics
Hypertension
Hypotension
Intracardiac thrombus
Liver
Liver cirrhosis
Liver transplantation
Liver transplants
Mortality
Oxygen saturation
Patients
Pulmonary arteries
Thrombosis
Transplantation
Ultrasonic imaging
Ventilation
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Summary:Intracardiac thrombus and vascular air embolism represent rare complications in the context of orthotopic liver transplantation. While isolated reports exist for intracardiac thrombus and vascular air embolism during orthotopic liver transplantation, this report presents the first documentation of their simultaneous occurrence in this surgical setting. This case report outlines the clinical course of a 60-year-old white female patient with end-stage liver disease complicated by portal hypertension, ascites, and hepatocellular carcinoma. The patient underwent orthotopic liver transplantation and encountered concurrent intraoperative complications involving intracardiac thrombus and vascular air embolism. Transesophageal echocardiography revealed the presence of air in the left ventricle and a thrombus in the right atrium and ventricle. Successful management ensued, incorporating hemodynamic support, anticoagulation, and thrombolytic therapy, culminating in the patient's discharge after a week. This report highlights the potential for simultaneous intraoperative complications during orthotopic liver transplantation, manifesting at any phase of the surgery. It underscores the critical importance of vigilant monitoring throughout orthotopic liver transplantation to promptly identify and effectively address these rare yet potentially catastrophic complications.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-024-04376-8