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 After systemic thrombolysis with urokinase, the left ventricular thrombus disappeared, ECMO was successfully withdrawn 9 days later, and the patient recovered and was discharged from hospital.CONCLUSIONSystemic thrombolysis is a treatment option for left ventricular thrombus in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
相关论文
共 50 条
  • [21] A case report of early application of veno-arterial extracorporeal membrane oxygenation in amniotic fluid embolism
    Ge, Chen
    Liu, Junhang
    Fu, You
    Jia, Lijing
    Bai, Yinxiang
    Yang, Zhiwei
    Du, Quansheng
    MEDICINE, 2021, 100 (46) : E27896
  • [22] Veno-Arterial Extracorporeal Membrane Oxygenation for Postcardiotomy Refractory Hemorrhage in Children
    Jin, Yu
    Cui, Yongli
    Feng, Zhengyi
    Wang, He
    Liu, Jia
    Duan, Xin
    Liu, Jinping
    HEART SURGERY FORUM, 2024, 27 (09) : E1029 - E1034
  • [23] Parameters associated with successful weaning of veno-arterial extracorporeal membrane oxygenation: a systematic review
    Charbonneau, Francis
    Chahinian, Karina
    Bebawi, Emmanuel
    Lavigueur, Olivier
    Levesque, Emilie
    Lamarche, Yoan
    Serri, Karim
    Albert, Martin
    Noly, Pierre-Emmanuel
    Cournoyer, Alexis
    Cavayas, Yiorgos Alexandros
    CRITICAL CARE, 2022, 26 (01)
  • [24] Parameters associated with successful weaning of veno-arterial extracorporeal membrane oxygenation: a systematic review
    Francis Charbonneau
    Karina Chahinian
    Emmanuel Bebawi
    Olivier Lavigueur
    Émilie Lévesque
    Yoan Lamarche
    Karim Serri
    Martin Albert
    Pierre-Emmanuel Noly
    Alexis Cournoyer
    Yiorgos Alexandros Cavayas
    Critical Care, 26
  • [25] Sensitivity of ventricular systolic function to afterload during veno-arterial extracorporeal membrane oxygenation
    Ng, Pauline Yeung
    Ma, Tammy Sin Kwan
    Ip, April
    Lee, Man Kei
    Ng, Andrew Kei-Yan
    Ngai, Chun Wai
    Chan, Wai Ming
    Siu, Chung Wah
    Sin, Wai Ching
    ESC HEART FAILURE, 2022, 9 (05): : 3241 - 3253
  • [26] Chemotherapy-induced leukopenic septic shock treated with veno-arterial extracorporeal membrane oxygenation: A case report
    Hoshino, Atsumi
    Ichiba, Shingo
    Ishikawa, Junya
    Seino, Yusuke
    Yoshida, Takuo
    Sato, Nobuo
    Nomura, Takeshi
    CLINICAL CASE REPORTS, 2023, 11 (02):
  • [27] Paraganglioma-induced pheochromocytoma crisis successfully treated by veno-arterial extracorporeal membrane oxygenation: a case report
    Tong, Mengqi
    Wang, Shan
    Bai, Ying
    Wang, Hao
    JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2024, 52 (09)
  • [28] Postcardiotomy refractory ventricular fibrillation: rescue using veno-arterial extracorporeal membrane oxygenation
    Soynov, Ilya
    Kornilov, Igor
    Zubritskiy, Alexey
    Ponomarev, Dmitriy
    Nichay, Nataliya
    Gorbatykh, Artem
    Voitov, Alexey
    Karaskov, Alexander
    PERFUSION-UK, 2018, 33 (05): : 401 - 403
  • [29] Isolated left ventricular failure is a predictor of poor outcome in patients receiving veno-arterial extracorporeal membrane oxygenation
    den Uil, Corstiaan A.
    Jewbali, Lucia S.
    Heeren, Martijn J.
    Constantinescu, Alina A.
    Van Mieghem, Nicolas M.
    Miranda, Dinis dos Reis
    EUROPEAN JOURNAL OF HEART FAILURE, 2017, 19 : 104 - 109
  • [30] Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
    Bhowmik, Subasish
    Bronshteyn, Yuriy S.
    Balakrishna, Aditi
    Bryant, John Matthew
    Chang, Marvin G.
    Convissar, David
    Grecu, Loreta
    Jones, Mandisa
    Jelly, Christina
    JOVE-JOURNAL OF VISUALIZED EXPERIMENTS, 2025, (215):
12345