title: An intriguing case of acute myocardial ischaemia in a patient with severe respiratory failure with veno-venous extracorporeal support.
abstract: We describe a case of a young woman requiring veno-venous extracorporeal support for severe secondary respiratory failure who developed a myocardial ischaemia due to an intermittent obstruction of the right coronary sinus by a fluttering thrombus. She was medically treated with full anticoagulation regimen, needed for the veno-venous extracorporeal membrane oxygenation support, without any other ischaemic or embolic event.
authors.affiliation: 1 Anesthesia and Intensive Care, Emergency Department, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.|2 Anesthesia, Intensive Care and Pain Therapy, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Tavazzi
authors.affiliation: 3 Royal Brompton Hospital NHS Foundation Trust Adult Intensive Care Unit, London, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: White
authors.affiliation: 3 Royal Brompton Hospital NHS Foundation Trust Adult Intensive Care Unit, London, UK.
authors.forename: Susanna
authors.initials: S
authors.lastname: Price
mesh_terms: D000208:Acute Disease; D000072226:Computed Tomography Angiography; D054326:Coronary Sinus; D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology / Q000628:therapy*; D012121:Respiration, Artificial / Q000379:methods*; D012131:Respiratory Insufficiency / Q000150:complications* / Q000628:therapy; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis
keywords: CT coronary angiography; NSTEMI; Veno-venous extracorporeal membrane oxygenation; aortic thrombus; echocardiography