JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jackson, D.
Right arrow Articles by Bennett, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jackson, D.
Right arrow Articles by Bennett, H.
Related Collections
Right arrow Cardiovascular
Right arrow Blood
Right arrow Heart

Anesth Analg 2006;102:724-728
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000197779.03866.ad

CARDIOVASCULAR ANESTHESIA

Successful Intraoperative Use of Recombinant Tissue Plasminogen Activator During Liver Transplantation Complicated by Massive Intracardiac/Pulmonary Thrombosis

Douglas Jackson, MD, JD, Andrei Botea, MD, Yuriy Gubenko, MD, Ellise Delphin, MD, MPH, and Henry Bennett, PhD

Department of Anesthesiology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey

Address correspondence and reprint requests to Douglas Jackson, MD, JD, Department of Anesthesiology, UMDNJ, MSB E-538b, 185 South Orange Avenue, Newark, NJ 07101. Address e-mail to jacksod1{at}umdnj.edu.

During orthotopic liver transplantation a patient received {varepsilon}-aminocaproic acid and clotting factors. Shortly after hepatic artery clamping the patient developed a massive intracardiac/intravascular thrombosis that resulted in cardiac arrest. After diagnosis by transesophageal echocardiography, the patient was treated with recombinant tissue plasminogen activator through a central venous catheter advanced into the right atrium. After treatment with recombinant tissue plasminogen activator, the patient’s hemodynamic status improved, permitting the liver transplant to be completed. The patient was ultimately discharged to home. We report the successful intraoperative resuscitation of a patient with acute intracardiac/intravascular thrombosis during an orthotopic liver transplantation using thrombolytic therapy.




This article has been cited by other articles:


Home page
 Br J AnaesthHome page
M. Carron and C. Ori
Thrombolysis for massive pulmonary tumour embolism in a patient with cavoatrial renal carcinoma
Br. J. Anaesth., August 1, 2008; 101(2): 285 - 286.
[Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
V. M. Neira, C. Sawchuk, K. S. Bonneville, V. Chu, and T. E. Warkentin
Case report: Management of immediate post-cardiopulmonary bypass massive intra-cardiac thrombosis: [Prise en charge d'une thrombose intracardiaque majeure immediatement apres la circulation extra-corporelle]
Can J Anesth, June 1, 2007; 54(6): 461 - 466.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
R. M. Planinsic, I. A. Hilmi, and T. Sakai
Prevention of Intracardiac/Pulmonary Thrombosis During Liver Transplantation
Anesth. Analg., November 1, 2006; 103(5): 1329 - 1329.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.