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Eur J Cardiothorac Surg 1998;13:216-217
© 1998 Elsevier Science NL

Images in cardio-thoracic surgery

Thrombus formation of the right heart

M. Roth, O. Reuthebuch, W.P. Klövekorn, E.P. Bauer

Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Max Planck Institute, Benekestr. 2–8, 61231 Bad Nauheim, Germany

Received 18 November 1997; accepted 24 November 1997.

Corresponding author. Tel.: +49 6032 996502; fax: +49 6032 996567.

A 67-year-old patient, who received a ventricular cardiac pacing system in 1992, was suffering from a staphylococcus aureus sepsis 3 weeks prior to the operation in August 1997. Echocardiography showed a thrombus formation in the right atrium, comprising the tricuspid valve and the right ventricular outflow tract. The surgical treatment consisted of the thrombus extraction and removal of the cardiac pacing system ( Fig. 1 Fig. 2 ).



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  		Fig. 1. The entire thrombus after surgical extraction.

 


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  		Fig. 2. Transesophageal echocardiographic views of the thrombus formation in the right atrium and right ventricular outflow tract. (a) Oesophageal, longitudinal view. (b) Transgastral, transversal view.

 




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