Left ventricular mobile thrombus associated with ventricular assist device: diagnosis by transesophageal echocardiography.
Ventricular assist devices (VADs) have been used as a bridge to cardiac transplantation in patients with end-stage congestive heart failure. Despite adequate anticoagulation, thromboembolism is a major complication and in particular, a left ventricular (LV) thrombus associated with VADs has been reported as an important cause of thromboembolic complications. The frequency of LV thrombus formation in the patients with VAD support using LV apical cannulation is reported to be low. A 61-year-old woman supported with VAD with LV apical cannulation had a mobile LV thrombus adjacent to the inflow cannula diagnosed by transesophageal echocardiography.
Miyake
Yumiko
Y
Division of Cardiology, Department of Medicine, Columbia University, New York, NY 10032, USA.
Sugioka
Kenichi
K
Bussey
Christine D
CD
Di Tullio
Marco
M
Homma
Shunichi
S
D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D016027:Heart Transplantation; D019918:Heart Valve Prosthesis Implantation; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009038:Motion; D009102:Multiple Organ Failure / Q000209:etiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D012214:Rheumatic Heart Disease / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*