Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus

Hideki Tatewaki; Yuichiro Hirata; Yoshihisa Tanoue; Akira Shiose

doi:10.1016/j.athoracsur.2018.09.046

Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus

Hideki Tatewaki, Yuichiro Hirata, Yoshihisa Tanoue, Akira Shiose

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.

Original language	English
Pages (from-to)	e307-e308
Journal	Annals of Thoracic Surgery
Volume	107
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2018.09.046
Publication status	Published - May 2019

All Science Journal Classification (ASJC) codes

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2018.09.046

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title = "Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus",

abstract = "An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.",

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AU - Shiose, Akira

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N2 - An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.

AB - An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.

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Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus

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