title: Recurrent thrombosis after mechanical circulatory support.
abstract: The immediate complication after implantation of mechanical circulatory support (MCS) is more often bleeding than thromboembolic events. We report an unusual case of massive thrombus formation following systemic thrombolytic therapy which happened twice after implantation of MCS. Various mechanisms may contribute to this severe complication, but attention should be paid to patients who receive MCS after systemic thrombolysis because of the secondary hypercoagulability induced by this therapy.
authors.affiliation: Heart & Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany. nadia.aissaoui@sat.aphp.fr
authors.forename: Nadia
authors.initials: N
authors.lastname: Aissaoui
authors.forename: Kavus
authors.initials: K
authors.lastname: Hakim-Meibodi
authors.forename: Michiel
authors.initials: M
authors.lastname: Morshuis
authors.forename: Jan
authors.initials: J
authors.lastname: Gummert
mesh_terms: D000328:Adult; D001344:Autopsy; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects* / Q000295:instrumentation; D017809:Fatal Outcome; D006331:Heart Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006354:Heart, Artificial / Q000009:adverse effects*; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects; D020766:Intracranial Embolism / Q000209:etiology; D008297:Male; D009205:Myocarditis / Q000473:pathology / Q000628:therapy*; D011474:Prosthesis Design; D012008:Recurrence; D013927:Thrombosis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology