Aortic Root Thrombosis on ECMO-A Novel Management Strategy.
Othman A AljohaniRakesh K SinghStephen J NageotteThomas DoKanishka RatnayakaJohn J NigroDavid K WerhoPublished in: World journal for pediatric & congenital heart surgery (2021)
A 15-year-old presented in cardiogenic shock secondary to viral myocarditis requiring venoarterial extracorporeal membrane oxygenation (ECMO) support. He developed large thrombi of the left ventricle and aortic root. Anticoagulation was increased, and medications were initiated to decrease the likelihood of aortic valve opening. He underwent balloon atrial septostomy followed by placement of a left atrial vent. A pigtail catheter was placed in the ascending aorta for direct heparin infusion. Serial echocardiograms showed progressive resolution of the thrombi. He was successfully weaned from ECMO and discharged home without neurological deficits.
Keyphrases
- extracorporeal membrane oxygenation
- aortic valve
- left atrial
- atrial fibrillation
- mitral valve
- acute respiratory distress syndrome
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- aortic valve replacement
- aortic stenosis
- catheter ablation
- left ventricular
- respiratory failure
- pulmonary artery
- venous thromboembolism
- ultrasound guided
- healthcare
- traumatic brain injury
- sars cov
- pulmonary embolism
- multiple sclerosis
- mechanical ventilation
- pulmonary hypertension
- heart failure
- low dose
- single molecule
- growth factor
- coronary artery disease
- congenital heart disease
- intensive care unit
- pulmonary arterial hypertension
- brain injury