LEFT ATRIUM THROMBUS ASSOCIATED WITH VENO-ARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION (VA-ECMO)

Authors

  • Hassan H. Allam King Abdullah Medical Complex, Jeddah, Ministry of Health
  • Abdulhalim Jamal Kinsara Ministry of National Guard-Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Medical Research Center, Jeddah,
  • Fawaz Altaf King Abdullah Medical Complex, Jeddah, Ministry of Health
  • Amt Alkhaliq A. Alrajawi King Abdullah Medical Complex, Jeddah, Ministry of Health
  • Tareq Tuiama King Abdullah Medical Complex, Jeddah, Ministry of Health
  • Shadwan E. Alfakih King Abdullah Medical Complex, Jeddah, Ministry of Health

DOI:

https://doi.org/10.47144/phj.v53i3.1948

Abstract

Extra corporeal membrane oxygenation, specifically the veno-arterial type (VA-ECMO) is an effective cardiac support device but has potential negative effects, such as poor myocardial rest, increased after load with subsequent pulmonary edema or decreased flow to the left side of the heart resulting in intra-cardiac thrombus formation. Hence, adequate left ventricular drainage and adequate anticoagulation are essential. We are presenting a patient who required central VA-ECMO, but developed a left atrial (LA) thrombus, which adversely affected his outcome.

In VA-ECMO, thrombus formation in the left side of the heart is a potential harmful complication.

Early recognition is an important step to arrange appropriate interventions, either early anticoagulation or the potential need for a LV vent to prevent stasis.

 

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Published

2020-11-07

How to Cite

1.
Allam HH, Kinsara AJ, Altaf F, Alrajawi AAA, Tuiama T, Alfakih SE. LEFT ATRIUM THROMBUS ASSOCIATED WITH VENO-ARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION (VA-ECMO). Pak Heart J [Internet]. 2020Nov.7 [cited 2024Nov.24];53(3). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/1948

Issue

Vol. 53 No. 3 (2020): Pakistan Heart Journal

Section

Case Reports

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