Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30403982.
- Also identified by DOI 10.1016/j.athoracsur.2018.09.046.
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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.
Medical subject headings
- Coronary Thrombosis
- Extracorporeal Membrane Oxygenation
- Heart-Assist Devices
- Myocarditis
- Shock, Cardiogenic