Back to Search
Start Over
Aortic Root Thrombosis on ECMO-A Novel Management Strategy
- Source :
- World journal for pediatriccongenital heart surgery. 11(5)
- Publication Year :
- 2020
-
Abstract
- 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.
- Subjects :
- Aortic valve
Male
medicine.medical_specialty
Viral Myocarditis
Adolescent
medicine.medical_treatment
Heart Ventricles
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Extracorporeal Membrane Oxygenation
Internal medicine
medicine.artery
Ascending aorta
medicine
Extracorporeal membrane oxygenation
Humans
cardiovascular diseases
Heart Atria
Cardiac Surgical Procedures
business.industry
Cardiogenic shock
Disease Management
Thrombosis
General Medicine
Heparin
medicine.disease
medicine.anatomical_structure
030228 respiratory system
Ventricle
Echocardiography
Pediatrics, Perinatology and Child Health
Practice Guidelines as Topic
cardiovascular system
Cardiology
Surgery
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- ISSN :
- 2150136X
- Volume :
- 11
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- World journal for pediatriccongenital heart surgery
- Accession number :
- edsair.doi.dedup.....81dbacc6ad01666273cd7565e717129a