Right ventricular thrombosis early after bidirectional glenn shunt

Thrombosis in the right ventricle occurred early after bidirectional superi or cavopulmonary shunt in 2 patients with pulmonary atresia with intact ven tricular septum and major right ventricular coronary artery communication, and perioperative brain infarction occurred in 1 patient. Clinicians should be aware of the hazards of this potentially lethal complication, and trans fusion of platelets and fresh plasma should be minimized. Although the hemo dynamic state is good, echocardiography should be performed frequently and strict anticoagulation should be started as early as possible. (C) 1999 by The Society of Thoracic Surgeons.