The bi-atrial surgical technique of heart transplantation is associated with postoperative atrial dysfunction, sinus node dysfunction, valvular dysfunction, and bi-atrial enlargement predisposing to atrial arrhythmia with thrombus formation. This report deals with a very late thrombus formation in the neo-atrium of a heart transplanted using the bi-atrial technique. The absence of arrhythmia and absence of any history of intake of prothrombotic medications make it noteworthy.
Supplementary information: The online version contains supplementary material available at 10.1007/s12055-022-01362-x.
Keywords: Bi-atrial technique; Bi-caval technique; Giant neo-atrium; Heart transplantation; thrombus.
© The Author(s) 2022, corrected publication 2022.