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

被引：0
|
作者：
Wang, Ya-Dong [1 ]
Lin, Jin-Feng [2 ]
Huang, Xiao-Ying [2 ]
Han, Xu-Dong [2 ]
机构：
[1] Nantong Third Peoples Hosp, Intens Care Med, Nantong 226000, Jiangsu, Peoples R China
[2] Nantong Third Peoples Hosp, Crit Care Med, 60 Qingnian Rd, Nantong 226000, Jiangsu, Peoples R China
来源：
WORLD JOURNAL OF CLINICAL CASES | 2023年 / 11卷 / 14期
关键词：
Extracorporeal membrane oxygenation; Left ventricular thrombus; Thrombolysis; Case report; THROMBOEMBOLISM; MANAGEMENT; UROKINASE; EFFICACY; SAFETY; STROKE;
D O I：
10.12998/wjcc.v11.i14.3323
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
BACKGROUNDLeft 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 SUMMARYWe 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 After systemic thrombolysis with urokinase, the left ventricular thrombus disappeared, ECMO was successfully withdrawn 9 days later, and the patient recovered and was discharged from hospital.CONCLUSIONSystemic thrombolysis is a treatment option for left ventricular thrombus in addition to anticoagulation and thrombectomy.
引用
收藏
页码：3323 / 3329
页数：7
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