Successful treatment of veno-arterial extracorporeal membrane oxygenation complicated with left ventricular thrombus by intravenous thrombolysis: A case report

被引：0
|
作者：
Ya-Dong Wang [1 ]
Jin-Feng Lin [2 ]
Xiao-Ying Huang [2 ]
Xu-Dong Han [2 ]
机构：
[1] Intensive Care Medicine, Nantong Third People's Hospital
[2] Critical Care Medicine, Nantong Third People's Hospital
来源：
World Journal of Clinical Cases | 2023年 / 14期
关键词：
D O I：
暂无
中图分类号：
R654.3 [血管];
学科分类号：
1002 ; 100210 ;
摘要：
BACKGROUND Left ventricular thrombus is a rare condition, for which appropriate treatments are not extensively studied. Although it can be treated by thrombectomy, such surgery can be difficult and risky, and not every patient can tolerate the surgery.CASE SUMMARY We report a case of a middle-aged man receiving veno-arterial extracorporeal membrane oxygenation(VA-ECMO) for acute myocardial infarction who developed left ventricular thrombus despite systemic anticoagulation. After systemic thrombolysis with urokinase, the left ventricular thrombus disappeared, ECMO was successfully withdrawn 9 days later, and the patient recovered and was discharged from hospital.CONCLUSION Systemic thrombolysis is a treatment option for left ventricular thrombus in addition to anticoagulation and thrombectomy.
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页码：3323 / 3329
页数：7
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