An intruder into the heart

Berrio Valencia, M.I.; Iglesias, I.

doi:10.1016/j.redare.2021.04.009

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The surgeon was informed of the finding and a ventriculotomy was performed at the apex extended to the anterior wall, but the thrombus was not found. However, prior to cardiopulmonary bypass a huge and very mobile thrombus was identified in the left ventricular outflow tract with transesophageal echocardiography (TEE) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This was immediately reported to the surgeon and the decision was to re-apply the clamp, re-arrest the heart and perform a thrombectomy through the ascending aorta.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Re-examination of the heart with TEE during coronary revascularisation surgery altered the surgical plan twice and prevented a fatal or highly catastrophic consequence to the patient.FundingThis study did not receive any type of funding.Conflict of interestsThe authors have no conflict of interests to declare." 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ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 70. Issue 3.