Acute Presentation of Bioprosthetic Mitral Valve Thrombosis in a Patient on Venoarterial Extracorporeal Membranous Oxygenation.

Autor: Dahl AB; Washington University School of Medicine, Department of Anesthesiology, St. Louis, MO. Electronic address: abdahl@wustl.edu., Gregory SH; Washington University School of Medicine, Department of Anesthesiology, St. Louis, MO., Ursprung E; Tufts Medical Center, Department of Anesthesiology, Boston MA., Kawabori M; Tufts Medical Center, Division of Cardiac Surgery, Boston MA., Couper GS; Tufts Medical Center, Division of Cardiac Surgery, Boston MA., Hueneke R; Washington University School of Medicine, Department of Anesthesiology, St. Louis, MO.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2019 Mar; Vol. 33 (3), pp. 844-849. Date of Electronic Publication: 2018 May 09.
DOI: 10.1053/j.jvca.2018.05.007
Abstrakt: The management of patients presenting with bioprosthetic valve thrombosis presents a major clinical challenge from a diagnostic and management standpoint. This patient population becomes especially challenging to manage when presenting with cardiogenic shock and additional risks for bleeding. In this clinical conference, the authors present the case of a 64-year-old male who developed intraoperative bioprosthetic mitral valve thrombosis and cardiogenic shock necessitating support with venoarterial extracorporeal membrane oxygenation. The discussion focuses on the diagnostic challenges with transesophageal echocardiography and the difficulty in determining the proper approach to systemic anticoagulation.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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