Acute biological mitral valve thrombosis after the left atrial venting in a patient with a venoarterial extracorporeal membrane oxygenator

Acute biological mitral valve thrombosis after the left atrial venting in a patient with a venoarterial extracorporeal membrane oxygenator

BACKGROUNDLeft atrial venting through atrial septotomy in patients with decreased left ventricular (LV) contractility after venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a simple and effective method for treating LV decompression. MATERIALS & METHODSWe report a case of prosthetic...

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Veröffentlicht in:Journal of cardiac surgery 2022, Vol.37 (2), p.437-439
Hauptverfasser: Lee, Kyo S, Jung, Yochun, Jeong, In S, Song, Sang Y, Na, Kook J, Oh, Sang G
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container_end_page 439
container_issue 2
container_start_page 437
container_title Journal of cardiac surgery
container_volume 37
creator Lee, Kyo S
Jung, Yochun
Jeong, In S
Song, Sang Y
Na, Kook J
Oh, Sang G
description BACKGROUNDLeft atrial venting through atrial septotomy in patients with decreased left ventricular (LV) contractility after venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a simple and effective method for treating LV decompression. MATERIALS & METHODSWe report a case of prosthetic mitral valve thrombosis after left atrial venting in a patient with VA-ECMO. RESULTSIn patients undergoing mitral valve replacement, left atrial venting reduces the flow through the mitral valve and forms a prosthetic thrombosis. DISCUSSIONTherefore, excessive left atrial venting should be avoided. Other venting methods that can maintain the flow through the mitral valve should be considered after mitral valve replacement.
doi_str_mv 10.1111/jocs.16122
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title Acute biological mitral valve thrombosis after the left atrial venting in a patient with a venoarterial extracorporeal membrane oxygenator
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