Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing

Aortic valve (AV) or aortic root thrombus related to a left ventricular assist device (LVAD) is a relatively uncommon but potentially life-threatening complication. In the present report, we describe a complex case where echocardiographic diagnosis of AV thrombosis was obscured by the presence of me...

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Autores principales: Uda, Yoshiaki, Minkovich, Leonid, Ouzounian, Maral, Meineri, Massimiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172889/
https://www.ncbi.nlm.nih.gov/pubmed/30306027
http://dx.doi.org/10.4103/jcecho.jcecho_26_18
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author Uda, Yoshiaki
Minkovich, Leonid
Ouzounian, Maral
Meineri, Massimiliano
author_facet Uda, Yoshiaki
Minkovich, Leonid
Ouzounian, Maral
Meineri, Massimiliano
author_sort Uda, Yoshiaki
collection PubMed
description Aortic valve (AV) or aortic root thrombus related to a left ventricular assist device (LVAD) is a relatively uncommon but potentially life-threatening complication. In the present report, we describe a complex case where echocardiographic diagnosis of AV thrombosis was obscured by the presence of mediastinal packing in a patient who underwent valve-sparing aortic root replacement and insertion of the CentriMag™ LVAD for postcardiotomy cardiogenic shock. A large AV thrombus may develop rapidly in patients with LVADs. This case highlights the importance of a careful and thorough transesophageal echocardiography examination in detecting this complication and in altering surgical management.
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spelling pubmed-61728892018-10-10 Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing Uda, Yoshiaki Minkovich, Leonid Ouzounian, Maral Meineri, Massimiliano J Cardiovasc Echogr Case Report Aortic valve (AV) or aortic root thrombus related to a left ventricular assist device (LVAD) is a relatively uncommon but potentially life-threatening complication. In the present report, we describe a complex case where echocardiographic diagnosis of AV thrombosis was obscured by the presence of mediastinal packing in a patient who underwent valve-sparing aortic root replacement and insertion of the CentriMag™ LVAD for postcardiotomy cardiogenic shock. A large AV thrombus may develop rapidly in patients with LVADs. This case highlights the importance of a careful and thorough transesophageal echocardiography examination in detecting this complication and in altering surgical management. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6172889/ /pubmed/30306027 http://dx.doi.org/10.4103/jcecho.jcecho_26_18 Text en Copyright: © 2018 Journal of Cardiovascular Echography http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Uda, Yoshiaki
Minkovich, Leonid
Ouzounian, Maral
Meineri, Massimiliano
Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title_full Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title_fullStr Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title_full_unstemmed Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title_short Aortic Valve Thrombosis after Valve-Sparing Aortic Root Replacement and Insertion of an Extracorporeal Left Ventricular Assist Device, Masked by Mediastinal Packing
title_sort aortic valve thrombosis after valve-sparing aortic root replacement and insertion of an extracorporeal left ventricular assist device, masked by mediastinal packing
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172889/
https://www.ncbi.nlm.nih.gov/pubmed/30306027
http://dx.doi.org/10.4103/jcecho.jcecho_26_18
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