Document Detail

Thrombosis of the ascending aorta during mechanical circulatory support in a patient with cardiogenic shock.
MedLine Citation:
PMID:  20656800     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock after percutaneous coronary intervention (PCI) is a life-threatening complication and is most often related to abrupt vessel closure. We present the case of a patient who developed cardiogenic shock after PCI and was supported with intra-aortic balloon counterpulsation and the Levitronix CentriMag short-term mechanical circulatory support. He was evaluated for implantation of a ventricular assist device as bridge-to-transplantation. Preoperative transesophageal echocardiography revealed a massive thrombus of the aortic root and ascending aorta despite optimal anticoagulation regimen. The patient succumbed due to multiorgan failure.
Evangelos Leontiadis; Heinrich Koertke; Andreas Bairaktaris; Reiner Koerfer
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-22     Completed Date:  2011-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  510-1     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Medicine, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
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MeSH Terms
Angioplasty, Balloon, Coronary / adverse effects*
Aortic Diseases / etiology*
Extracorporeal Membrane Oxygenation
Fatal Outcome
Heart-Assist Devices*
Middle Aged
Shock, Cardiogenic / etiology,  therapy*
Thrombosis / etiology*

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