Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus

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Abstract

An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.

Original languageEnglish
Pages (from-to)e307-e308
JournalAnnals of Thoracic Surgery
Volume107
Issue number5
DOIs
Publication statusPublished - May 1 2019

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Myocarditis
Thrombosis
Pediatrics
Equipment and Supplies
Extracorporeal Membrane Oxygenation
Cardiogenic Shock
Neurologic Manifestations
Drainage

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus",
abstract = "An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.",
author = "Hideki Tatewaki and Yuichiro Hirata and Yoshihisa Tanoue and Akira Shiose",
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AU - Tanoue, Yoshihisa

AU - Shiose, Akira

PY - 2019/5/1

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AB - An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.

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