Beating heart left ventricle thrombectomy through mini-left-anterior thoracotomy for a patient with cardiogenic shock

Masato Mutsuga; Akihiko Usui

doi:10.1007/s11748-020-01510-3

Beating heart left ventricle thrombectomy through mini-left-anterior thoracotomy for a patient with cardiogenic shock

Masato Mutsuga, Akihiko Usui

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

Abstract

Left ventricular (LV) thrombus is frequently occurred with dilated cardiomyopathy (DCM) when a patient receives extracorporeal membrane oxygenation (ECMO) support for cardiogenic shock. LV decompression techniques are sometimes required immediately after ECMO support. However, LV thrombus is a contra indication for LV assist device (LVAD). We planned a mini-left-anterior thoracotomy instead of using sternotomy, and used beating heart under ECMO support. LV was opened through apex and thrombectomy was performed by finger manipulation and the remained thrombus was removed by balloon guided technique. Our technique is a simple and durable method for removing LV thrombus under ECMO support and might be considered as a supplementary procedure before temporally LVAD.

Original language	English
Pages (from-to)	614-617
Number of pages	4
Journal	General Thoracic and Cardiovascular Surgery
Volume	69
Issue number	3
DOIs	https://doi.org/10.1007/s11748-020-01510-3
Publication status	Published - 03-2021
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1007/s11748-020-01510-3

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title = "Beating heart left ventricle thrombectomy through mini-left-anterior thoracotomy for a patient with cardiogenic shock",

abstract = "Left ventricular (LV) thrombus is frequently occurred with dilated cardiomyopathy (DCM) when a patient receives extracorporeal membrane oxygenation (ECMO) support for cardiogenic shock. LV decompression techniques are sometimes required immediately after ECMO support. However, LV thrombus is a contra indication for LV assist device (LVAD). We planned a mini-left-anterior thoracotomy instead of using sternotomy, and used beating heart under ECMO support. LV was opened through apex and thrombectomy was performed by finger manipulation and the remained thrombus was removed by balloon guided technique. Our technique is a simple and durable method for removing LV thrombus under ECMO support and might be considered as a supplementary procedure before temporally LVAD.",

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AB - Left ventricular (LV) thrombus is frequently occurred with dilated cardiomyopathy (DCM) when a patient receives extracorporeal membrane oxygenation (ECMO) support for cardiogenic shock. LV decompression techniques are sometimes required immediately after ECMO support. However, LV thrombus is a contra indication for LV assist device (LVAD). We planned a mini-left-anterior thoracotomy instead of using sternotomy, and used beating heart under ECMO support. LV was opened through apex and thrombectomy was performed by finger manipulation and the remained thrombus was removed by balloon guided technique. Our technique is a simple and durable method for removing LV thrombus under ECMO support and might be considered as a supplementary procedure before temporally LVAD.

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Beating heart left ventricle thrombectomy through mini-left-anterior thoracotomy for a patient with cardiogenic shock

Abstract

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