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Novel surgical management of an extensive recurrent Hickman line thrombosis involving the SVC and right atrium
  • +2
  • Anna Zingale,
  • Danai Karamanou,
  • Pietro Malvindi,
  • Suvitesh Luthra,
  • Sunil Ohri
Anna Zingale
Southampton University Hospitals NHS Trust
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Danai Karamanou
Southampton University Hospitals NHS Trust
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Pietro Malvindi
University Hospital Southampton NHS Foundation Trust
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Suvitesh Luthra
Southampton University Hospitals NHS Trust
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Sunil Ohri
Southampton University Hospitals
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Abstract

Intravenous central line catheters are often at risk of line-related thrombosis. We report on how the cardiopulmonary bypass strategy was tailored to the particular anatomical challenges with the use of an unconventional venous cannulation site to optimise intraoperative venous drainage, improve surgical exposure and avoid circulatory arrest in a case with a complex intracardiac thrombosis. This report also highlights the importance of assiduously monitoring the efficacy of anticoagulation therapy, especially in the context of small bowel syndrome.

Peer review status:UNDER REVIEW

06 Jun 2021Submitted to Journal of Cardiac Surgery
08 Jun 2021Assigned to Editor
08 Jun 2021Submission Checks Completed
19 Jul 2021Reviewer(s) Assigned