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 |
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container_title | ASAIO journal (1992) |
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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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source | Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals |
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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