RESUMEN

Low cardiac output after orthotopic heart transplant (OHT) may be attributed to inadequate preload, vasodilation, and/or reduced inotropy. Inadequate preload because of an inferior vena cava (IVC) thrombus is a rare cause of low cardiac output and not frequently described in the literature. Although the use of prothrombin complex (PCC) has been associated with thrombus formation, its contribution to life-threatening IVC thrombosis has yet to be described. This case report describes the use of perioperative ultrasound in the diagnosis and management of a low cardiac output state induced by an IVC thrombus in an OHT recipient who received PCC.

Asunto(s)

Factores de Coagulación Sanguínea/efectos adversos , Gasto Cardíaco Bajo/diagnóstico , Trasplante de Corazón , Trombosis de la Vena/diagnóstico , Factores de Coagulación Sanguínea/uso terapéutico , Gasto Cardíaco Bajo/diagnóstico por imagen , Ecocardiografía , Humanos , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Vena Cava Inferior/diagnóstico por imagen , Trombosis de la Vena/inducido químicamente , Trombosis de la Vena/diagnóstico por imagen