Acute Presentation of Bioprosthetic Mitral Valve Thrombosis in a Patient on Venoarterial Extracorporeal Membranous Oxygenation.
anesthesia
bioprosthetic heart valves
cardiogenic shock
echocardiography
transesophageal
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
03
05
2018
pubmed:
9
6
2018
medline:
8
6
2019
entrez:
9
6
2018
Statut:
ppublish
Résumé
The management of patients presenting with bioprosthetic valve thrombosis presents a major clinical challenge from a diagnostic and management standpoint. This patient population becomes especially challenging to manage when presenting with cardiogenic shock and additional risks for bleeding. In this clinical conference, the authors present the case of a 64-year-old male who developed intraoperative bioprosthetic mitral valve thrombosis and cardiogenic shock necessitating support with venoarterial extracorporeal membrane oxygenation. The discussion focuses on the diagnostic challenges with transesophageal echocardiography and the difficulty in determining the proper approach to systemic anticoagulation.
Identifiants
pubmed: 29880428
pii: S1053-0770(18)30338-0
doi: 10.1053/j.jvca.2018.05.007
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
844-849Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.