Surgically treated intraoperative XXXX .

@entity1 @entity63 @entity301 @entity955 @entity715
We report a case of intraoperative @entity301 in a 52-year-old male @entity1 undergoing mitral valve replacement. The @entity1 had persistent @entity955 and was treated with oral anticoagulants and, in spite of well controlled anticoagulation, he suffered a transient @entity63 attack. No @entity715 was found by transthoracic echocardiography. Three weeks later open heart surgery was performed. During valve surgery no thrombus was found in the left atrium. When cardiopulmonary bypass was discontinued the heart function rapidly deteriorated and the heart swelled up, became bluish, with left atrial pressure rising to 40 mm Hg. It was noticed that the anterior surface of the left ventricle was not moving. @entity301 was considered. Multiple thrombi were found and removed from the left anterior coronary artery. After successful thrombectomy the @entity1 came off the pump easily. Early and late postoperative course were uneventful. Intraoperative @entity301 should be considered when cardiac function is deteriorating and there is an inability to wean the @entity1 from the pump. Early and correct diagnosis is lifesaving.
