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Complete Spontaneous Left Heart and Aortic Thromboses on Extracorporeal Membrane Oxygenation Support
Author(s) -
Ramjee Vimal,
Shreenivas Satya,
Rame Jesus Eduardo,
Kirkpatrick James N.,
Jagasia Dinesh
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12323
Subject(s) - thrombus , medicine , cardiology , ventricle , extracorporeal membrane oxygenation , thrombosis , ascending aorta , population , heart failure , aorta , heparin , ventricular assist device , environmental health
Mini‐Abstract There is an increasing prevalence of mechanical assist device use in patients with end‐stage heart failure. With a growing number of intra‐ and postoperative cardiac thrombotic events in the setting of mechanical assist devices, recognition of this entity is becoming increasingly salient to the clinical management of this population. The case presented herein is notable for multiple reasons: (1) the thrombus demonstrated involves the entire left atrium, left ventricle, and proximal ascending aorta; (2) thrombosis did not occur in the setting of previously described triggers, including fresh frozen plasma, protamine, or intrinsic hypercoagulable state; and finally, (3) thrombosis occurred with therapeutic heparin levels.