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J. Cardiothorac. Vasc. Anesth. · Mar 2019
Case ReportsAcute Presentation of Bioprosthetic Mitral Valve Thrombosis in a Patient on Venoarterial Extracorporeal Membranous Oxygenation.
- Aaron B Dahl, Stephen H Gregory, Eric Ursprung, Masashi Kawabori, Gregory S Couper, and Rocco Hueneke.
- Washington University School of Medicine, Department of Anesthesiology, St. Louis, MO. Electronic address: abdahl@wustl.edu.
- J. Cardiothorac. Vasc. Anesth. 2019 Mar 1; 33 (3): 844-849.
AbstractThe management of patients presenting with bioprosthetic valve thrombosis presents a major clinical challenge from a diagnostic and management standpoint. This patient population becomes especially challenging to manage when presenting with cardiogenic shock and additional risks for bleeding. In this clinical conference, the authors present the case of a 64-year-old male who developed intraoperative bioprosthetic mitral valve thrombosis and cardiogenic shock necessitating support with venoarterial extracorporeal membrane oxygenation. The discussion focuses on the diagnostic challenges with transesophageal echocardiography and the difficulty in determining the proper approach to systemic anticoagulation.Copyright © 2018 Elsevier Inc. All rights reserved.
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