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.