Acute Presentation of Bioprosthetic Mitral Valve Thrombosis in a Patient on Venoarterial Extracorporeal Membranous Oxygenation

Aaron B. Dahl, Stephen H. Gregory, Eric Ursprung, Masashi Kawabori, Gregory S. Couper, Rocco Hueneke

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The management of patients presenting with bioprosthetic valve thrombosis presents a major clinical challenge from a diagnostic and management standpoint. This patient population becomes especially challenging to manage when presenting with cardiogenic shock and additional risks for bleeding. In this clinical conference, the authors present the case of a 64-year-old male who developed intraoperative bioprosthetic mitral valve thrombosis and cardiogenic shock necessitating support with venoarterial extracorporeal membrane oxygenation. The discussion focuses on the diagnostic challenges with transesophageal echocardiography and the difficulty in determining the proper approach to systemic anticoagulation.

Original languageEnglish
Pages (from-to)844-849
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume33
Issue number3
DOIs
StatePublished - Mar 2019

Keywords

  • anesthesia
  • bioprosthetic heart valves
  • cardiogenic shock
  • echocardiography
  • transesophageal

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