emoval of thrombus in vena cava with occlusion of the inletof flow to the heart: a case report

Abstract

The inflow occlusion (IOBH) technique has been used appropriately for the removal of pacemaker materials, catheters, and intracardiac thrombi for decades. The objective of this case is to explain the anesthetic management provided to the patient for the extraction of thrombus in the vena cava with occlusion of flow inlet to the heart. A case is presented of a 23-year-old male with Evans Syndrome who underwent re-operation for mesenteric ischemia. He was admitted to the septic tank in poor general condition and was admitted to the intensive care unit (ICU). Vegetation was evident in the vena cava secondary to a venous catheter. central, sternotomy and pericardiotomy were this case is to explain the anesthetic management provided to the patient for the extraction of thrombus in the vena cava with occlusion of flow inlet to the heart. A case is presented of a 23-year-old male with Evans Syndrome who underwent re-operation for mesenteric ischemia. He was admitted to the septic tank in poor general condition and was admitted to the intensive care unit (ICU). Vegetation was evident in the vena cava secondary to a venous catheter. central, sternotomy and pericardiotomy were performed, drainage of the pericardial effusion, right auriculectomy plus thrombectomy with the “inflow occlusion on the beating heart” technique with general anesthesia, standard monitoring plus invasive monitoring, managing to extract the thrombus.

Preoxygenation was performed, starting anesthetic induction with maintenance of anesthesia using 3% sevorane and oxygen at 50% FiO2, with maintenance doses of fentanyl and rocuronium with an infusion of dexmedetomidine in 100 ml of 0.9% saline solution, and the patient was satisfactorily discharged. one week after the procedure without apparent complications.