Double intracardiac thrombosis in a patient assisted by a venoarterial extracorporeal membrane oxygenation

A Martínez Salgado; M Taboada Muñiz; J M Martínez Cereijo; P Otero Castro; J Álvarez Escudero

doi:10.1016/j.redar.2018.12.010

Double intracardiac thrombosis in a patient assisted by a venoarterial extracorporeal membrane oxygenation

Rev Esp Anestesiol Reanim (Engl Ed). 2019 Jun-Jul;66(6):335-337. doi: 10.1016/j.redar.2018.12.010. Epub 2019 Feb 1.

[Article in English, Spanish]

Authors

A Martínez Salgado¹, M Taboada Muñiz², J M Martínez Cereijo³, P Otero Castro², J Álvarez Escudero⁴

Affiliations

¹ Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España. Electronic address: [email protected].
² Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
³ Servicio de Cirugía Cardíaca, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
⁴ Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Departamento de Cirugía y Especialidades Médico-Quirúrgicas, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.

PMID: 30718016
DOI: 10.1016/j.redar.2018.12.010

Abstract

Intracardiac thrombosis is a rare complication in patients receiving haemodynamic support with venous-arterial extracorporeal membrane oxygenation (VA-ECMO), but it has a high risk of mortality. This case report describes a patient who suffered cardiogenic shock after a ST-segment elevation myocardial infarction (STEMI) and who presented with intracardiac thrombosis during VA-ECMO support on two occasions after mitral valve replacement. The first one was after the insertion of a mechanical prosthesis, and the second, after replacing it with a biological valve.

Keywords: ECMO-VA; Ecocardiografía transesofágica; Intracardiac thrombosis; Transoesophageal echocardiography; Trombosis intracardíaca; VA-ECMO.

Publication types

Case Reports

MeSH terms

Aged
Echocardiography
Extracorporeal Membrane Oxygenation / adverse effects*
Extracorporeal Membrane Oxygenation / methods
Heart Diseases / diagnostic imaging
Heart Diseases / etiology*
Heart Diseases / pathology
Humans
Male
Thrombosis / diagnostic imaging
Thrombosis / etiology*
Thrombosis / pathology