Extracorporeal Left Ventricular Circulatory Support as a Bridge to Implantable LVAD for a Patient With Pan-Left Ventricular Thrombosis
Autor: | Mitsugu Ogawa, Muhammad F. Masood, Keki R. Balsara, Akinobu Itoh |
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Rok vydání: | 2017 |
Předmět: |
Aortic valve
medicine.medical_specialty Heart Ventricles medicine.medical_treatment Shock Cardiogenic Biomedical Engineering Biophysics Bioengineering 030204 cardiovascular system & hematology Ventriculotomy Extracorporeal Biomaterials 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Internal medicine medicine Extracorporeal membrane oxygenation Humans Thrombus business.industry Cardiogenic shock Thrombosis General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure 030228 respiratory system Ventricle Circulatory system cardiovascular system Cardiology Female Heart-Assist Devices business |
Zdroj: | ASAIO Journal. 63:e45-e46 |
ISSN: | 1058-2916 |
Popis: | We present the case of a 57 year old woman who developed pan-left ventricular thrombus while being supported with central extracorporeal membrane oxygenation support for cardiogenic shock. The left heart thrombus was evacuated emergently through the aortic valve, left atriotomy, and left ventriculotomy. The cannulation was then revised with the addition of a 36 French angled cannula in the apex of the left ventricle to decompress the ventricle, minimize stasis, and allow for any residual microthrombus to be trapped in the oxygenator membrane, not causing embolization. Once her neurological status was confirmed intact, a durable device was implanted. She recovered well without any neurological injury. |
Databáze: | OpenAIRE |
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