Aortic Thrombus Formation in the Mixing Zone of a Patient With Acute Myocarditis
Mikio Shiba, Takaharu Hayashi, Yuma Hamanaka, Yasuhiro Ichibori, Yoshiharu Higuchi · 2024
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Description
Mikio Shiba and colleagues report a sixty-six-year-old man whose care for acute myocarditis was complicated by a clot in the aorta, where two artificial blood flows meet. He came in with chills, breathlessness on exertion, and palpitations. Cardiac enzymes and imaging led to a diagnosis of acute myocarditis. His circulation was unstable. Care used a balloon pump first. Refractory ventricular fibrillation then led to extracorporeal membrane oxygenation with a microaxial flow pump.
Imaging showed an aortic thrombus, formed it seemed in the mixing zone where the two devices' flows collide. Antibody tests then gave a diagnosis of heparin-induced thrombocytopenia, an immune reaction to the anticoagulant itself. So heparin was swapped for argatroban. Surgery restored flow in the artery. The man stabilised and was discharged on day forty-seven.
Catalog record
| CREATOR | Mikio Shiba, Takaharu Hayashi, Yuma Hamanaka, Yasuhiro Ichibori, Yoshiharu Higuchi |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 7 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |