Proof of Concept: Trans-atrial AngioVac Aspiration of Mitral Valve Thrombosis in a COVID-19 Patient

In patients with a prohibitive surgical risk, the AngioVac cannula can be used to remove left-sided cardiac masses, as an off-label adaptation of the device. We herein describe a novel micro-invasive approach to gain access to the left atrium for the aspiration of a mitral valve mass in a patient af...

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Veröffentlicht in:ASAIO journal (1992) 2023-07, Vol.69 (7), p.e342-e345
Hauptverfasser: Gerosa, Gino, Ponzoni, Matteo, Evangelista, Giuseppe, Tessari, Chiara, Tiberio, Ivo, Molè, Angelo, Zanella, Fabio, Pittarello, Demetrio, Tarzia, Vincenzo
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container_end_page e345
container_issue 7
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container_title ASAIO journal (1992)
container_volume 69
creator Gerosa, Gino
Ponzoni, Matteo
Evangelista, Giuseppe
Tessari, Chiara
Tiberio, Ivo
Molè, Angelo
Zanella, Fabio
Pittarello, Demetrio
Tarzia, Vincenzo
description In patients with a prohibitive surgical risk, the AngioVac cannula can be used to remove left-sided cardiac masses, as an off-label adaptation of the device. We herein describe a novel micro-invasive approach to gain access to the left atrium for the aspiration of a mitral valve mass in a patient affected by severe coronavirus disease 2019. Through a right anterior mini-thoracotomy, the right superior pulmonary vein was accessed and used to insert the aspiration cannula. A parallel venous-arterial extracorporeal membrane oxygenation (ECMO)-like circuit provided circulatory and respiratory support to ensure proper intra- and postoperative hemodynamic stabilization.
doi_str_mv 10.1097/MAT.0000000000001910
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subjects How to Do It
title Proof of Concept: Trans-atrial AngioVac Aspiration of Mitral Valve Thrombosis in a COVID-19 Patient
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