Huge intracardiac thrombosis in a patient on veno-arterial extracorporeal membrane oxygenation support.
A young woman suffering from congenital hypertrophic obstructive cardiomyopathy (HOCM) received a transcoronary ablation of the septal hypertrophy (TASH) and an automated Cardioverter/Defibrillator (AICD) for the relief of progressive symptoms of heart failure. She developed an acute heart failure in the perioperative period and had to be put on veno-arterial extracorporeal membrane oxygenation. Following this the patient developed a nearly complete thrombosis of the left-sided cardiac chambers, despite successful laboratory anticoagulation.
Weis
Florian
F
Department of Anesthesiology, University Hospital Grosshadern, Ludwig-Maximilians-University, Munich, Germany. Florian.Weis@med.uni-muenchen.de
Beiras-Fernandez
Andres
A
Bruegger
Dirk
D
Kreth
Simone
S
Sodian
Ralf
R
Kur
Felix
F
Weis
Marion
M
Nikolaou
Konstantin
K
D000925:Anticoagulants / Q000627:therapeutic use; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000628:therapy*; D017115:Catheter Ablation; D017147:Defibrillators, Implantable; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006801:Humans; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D000925:Anticoagulants