Aortic valve thrombosis after valve-sparing aortic root replacement and insertion of an extracorporeal left ventricular assist device, masked by mediastinal packing | Zendy

Yoshiaki Uda | Zendy; Leonid Minkovich | Zendy; Maral Ouzounian | Zendy; Massimiliano Meineri | Zendy

Open Access

Aortic valve thrombosis after valve-sparing aortic root replacement and insertion of an extracorporeal left ventricular assist device, masked by mediastinal packing

Author(s) -

Yoshiaki Uda,

Leonid Minkovich,

Maral Ouzounian,

Massimiliano Meineri

Publication year - 2018

Publication title -

journal of cardiovascular echography

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.255

H-Index - 8

eISSN - 2347-193X

pISSN - 2211-4122

DOI - 10.4103/jcecho.jcecho_26_18

Subject(s) - medicine , cardiogenic shock , thrombus , complication , cardiology , aortic valve , ventricular assist device , aortic valve replacement , transesophageal echocardiogram , thrombosis , aortic root , surgery , radiology , heart failure , aorta , stenosis , myocardial infarction

Aortic valve (AV) or aortic root thrombus related to a left ventricular assist device (LVAD) is a relatively uncommon but potentially life-threatening complication. In the present report, we describe a complex case where echocardiographic diagnosis of AV thrombosis was obscured by the presence of mediastinal packing in a patient who underwent valve-sparing aortic root replacement and insertion of the CentriMag™ LVAD for postcardiotomy cardiogenic shock. A large AV thrombus may develop rapidly in patients with LVADs. This case highlights the importance of a careful and thorough transesophageal echocardiography examination in detecting this complication and in altering surgical management.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research